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Leslie Gary Brody, MSW, LICSW, PhD

Social Worker, Clinical in Newton, MA. Individual provider (NPI-1).

NPI number1083179220
StatusActive
Last updated in NPPESFeb 1, 2019

Details

NPI
1083179220
Entity type
Individual (NPI-1)
Name
Mr. Leslie Gary Brody
Credential
MSW, LICSW, PhD
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 1, 2019
Last updated
Feb 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

35 Buswell Park
Newton, MA 02458

Phone 617-964-7432

Mailing address

35 Buswell Park
Newton, MA 02458

Phone 617-964-7432

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