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General NPI Number Information
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NPI Number | 1467114165
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Entity Type | Organization
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Legal Business Name | LEAH M. CAVANAUGH, LISW, LLC
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Dates
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Enumeration Date | 10/10/2021
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 7640 W BANCROFT ST UNIT 2
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City | TOLEDO
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State | OH
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Zip | 43617-1604
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Country | US
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Telephone | 419-413-9147
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Fax | 567-777-0197
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Provider Business Mailing Address
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Address Line | 7640 W BANCROFT ST UNIT 2
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City | TOLEDO
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State | OH
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Zip | 43617-1604
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Country | US
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Telephone | 419-413-9147
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Fax | 567-777-0197
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Authorized Official
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Title or Position | THERAPIST
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Name | LEAH MARIE CAVANAUGH
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Credential | LISW
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Telephone | 419-413-9147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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