Leydi Tatiana Fonseca, LCSW

NPI #1104449032 in Ithaca, New York

Provider Information

NPI Number
1104449032
Entity Type
Individual
Name
Leydi Tatiana Fonseca, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 27, 2020
Last Updated
Dec 26, 2025

Practice Location

Address
212 HIGHGATE RD
City
Ithaca
ZIP Code
14850-1436
Phone
(862) 264-9284

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Social Worker

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