| Kerry Leavitt Inc | |
|
175 S Pantops Dr Charlottesville VA 22911-8671 | |
| (434) 296-9740 | |
| Not Available |
| Full Name | Kerry Leavitt Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 175 S Pantops Dr, Charlottesville, Virginia |
| Authorized Official Name and Position | Karen Kerry Sue Leavitt (OWNER) |
| Authorized Official Contact | 4342969740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Leavitt Inc 175 S Pantops Dr Charlottesville VA 22911-8671 Ph: (434) 296-9740 | Kerry Leavitt Inc 175 S Pantops Dr Charlottesville VA 22911-8671 Ph: (434) 296-9740 |
| NPI Number | 1316180466 |
|---|---|
| Provider Enumeration Date | 04/18/2009 |
| Last Update Date | 04/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316180466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904004341 (Virginia) | Primary |
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