| Christopher J. Leonard, Msw, Lcsw, M.ed. | |
|
118 Prospect St Suite 5 Ridgewood NJ 07450-4473 | |
| (201) 447-3621 | |
| (201) 291-2190 |
| Full Name | Christopher J. Leonard, Msw, Lcsw, M.ed. |
|---|---|
| Speciality | Clinic/center |
| Location | 118 Prospect St, Ridgewood, New Jersey |
| Authorized Official Name and Position | Christopher J Leonard (OWNER) |
| Authorized Official Contact | 2014473621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher J. Leonard, Msw, Lcsw, M.ed. 118 Prospect St Suite 5 Ridgewood NJ 07450-4473 Ph: (201) 447-3621 | Christopher J. Leonard, Msw, Lcsw, M.ed. 118 Prospect St Suite 5 Ridgewood NJ 07450-4473 Ph: (201) 447-3621 |
| NPI Number | 1164968582 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164968582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 44SC044556400 (New Jersey) | Primary |
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