Leanne M Prendergast
Social Worker, Clinical in Dorchester, MA. Individual provider (NPI-1).
NPI number1548092299
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1548092299
- Entity type
- Individual (NPI-1)
- Name
- Leanne M Prendergast
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2024
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
12 Southern AveDorchester, MA 02124-2012
Phone 617-708-0870
Mailing address
1250 Burnett St Apt 1319Houston, TX 77009
Phone 269-338-9311
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