| Leigh Ann S. Tedesco, Lcsw Llc. | |
|
88 Park St Montclair NJ 07042-5915 | |
| (973) 857-6157 | |
| Not Available |
| Full Name | Leigh Ann S. Tedesco, Lcsw Llc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 88 Park St, Montclair, New Jersey |
| Authorized Official Name and Position | Leigh Ann Stagliano Tedesco (OWNER) |
| Authorized Official Contact | 9738576157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leigh Ann S. Tedesco, Lcsw Llc. 88 Park St Montclair NJ 07042-5915 Ph: (973) 857-6157 | Leigh Ann S. Tedesco, Lcsw Llc. 88 Park St Montclair NJ 07042-5915 Ph: (973) 857-6157 |
| NPI Number | 1013039411 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013039411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00215500 (New Jersey) | Primary |
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