Leora Mirkin
Leora Mirkin is a Clinical Social Worker in Madison, Wisconsin. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
2614 Ravenswood RdMadison, WI 53711-4053
Phone: (608) 406-3860
Fax: (608) 403-4257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1942653340 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 20, 2016 |
| Last updated in NPPES | August 9, 2021 |
| Certification date | August 9, 2021 |
| Mailing address | 2614 Ravenswood Rd, Madison, WI 53711-4053 |
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