Liebenberg, Jean

Liebenberg, Jean is an sole proprietor health care provider with primary practice located at 109 6Th St , Watkins Glen NY 14891-1358. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Liebenberg, Jean can be contacted via phone (607) 535-7217.

Contact Information

Primary practice address
109 6Th St Watkins Glen NY 14891-1358
Phone: (607) 535-7217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R044219-1 New York

Profile Details

NPI number 1144430026
LBN Legal business name Liebenberg, Jean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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