Leslie Glass & Associates Llc | |
1315 Walnut St Suite 1323 Philadelphia PA 19107-4719 | |
(267) 977-7316 | |
Not Available |
Full Name | Leslie Glass & Associates Llc |
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Speciality | Social Worker - Clinical |
Location | 1315 Walnut St, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Leslie Carol Glass (OWNER, PSYCHOTHERAPIST) |
Authorized Official Contact | 2679777316 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Leslie Glass & Associates Llc 1315 Walnut St Suite 1323 Philadelphia PA 19107-4719 Ph: (267) 977-7316 | Leslie Glass & Associates Llc 1315 Walnut St Suite 1323 Philadelphia PA 19107-4719 Ph: (267) 977-7316 |
NPI Number | 1033466297 |
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Provider Enumeration Date | 08/07/2012 |
Last Update Date | 08/07/2012 |
Identifier | Type | State | Issuer |
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1033466297 | NPI | - | NPPES |
1679752240 | Other | PA | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW015845 (Pennsylvania) | Primary |
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