Most Relevant Information
Provider Data
| NPI Number: | 1003043407 |
| Provider Name: | ELIZABETH LEBRON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | RO58795-1 |
Most Important Dates
| Enumeration Date: | 06/12/2009 |
| Last Updated: | 06/12/2009 |
Provider Practice Location
3902 111TH ST
APT# R1D
CORONA
NY
113682647
Practice Location Phone/Fax
| Phone: | 7184782629 |
| Fax: |
Provider Mailing Location
3902 111TH ST
APT# R1D
CORONA
NY
113682647
Provider Mailing Phone/Fax
| Phone: | 7184782629 |
| Fax: |