MS. Leslie Tubul, LCSW

NPI #1194237602 in Montclair, New Jersey

Provider Information

NPI Number: 1194237602
Entity Type: Individual
Name: MS. Leslie Tubul, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 25, 2017
Last Updated: Dec 6, 2017

Practice Location

Address: 51 UPPER MONTCLAIR PLZ STE 25
City: Montclair
State: New Jersey
ZIP Code: 07043-1340
Phone: (862) 505-1413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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