| Leslie Mader Llc | |
|
623 River Rd Suite 2g Fair Haven NJ 07704-3200 | |
| (732) 299-0098 | |
| (732) 865-7744 |
| Full Name | Leslie Mader Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 623 River Rd, Fair Haven, New Jersey |
| Authorized Official Name and Position | Leslie A Mader (LCSW) |
| Authorized Official Contact | 7322990098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Mader Llc 623 River Rd Suite 2g Fair Haven NJ 07704-3200 Ph: (732) 299-0098 | Leslie Mader Llc 623 River Rd Suite 2g Fair Haven NJ 07704-3200 Ph: (732) 299-0098 |
| NPI Number | 1508310897 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 08/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508310897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (New Jersey) | Primary |
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