Timothy William Leahy L.I.C.S.W

NPI 1003086265 - Social Worker - 1041C0700X

NPI Details
NPI 1003086265
Gender Male
Enumeration Date 03/04/2008
Last Updated 03/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
284 BACON ST
WALTHAM MA, 02451-7521, US
Phone (781) 642-9601
Fax
Business Location
284 BACON ST
WALTHAM MA, 02451-7521, US
Phone (781) 642-9601
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 1024926
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According to our database, Mr. Timothy William Leahy L.I.C.S.W NPI is 1003086265, taxonomy code is 1041C0700X and license number is 1024926, license state is located at Massachusetts. Timothy William Leahy L.I.C.S.W physically located at 284 Bacon St, Waltham MA, 02451-7521. NPI Number Timothy William Leahy L.I.C.S.W has the Individual type.

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1003086265 NPI number is provided on an as is basis without warranty of any kind. 1003086265 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy William Leahy L.I.C.S.W are for informational purposes only.