Doctor Name: | MS. DOREEN GEORGINA LEO-HUNEKE |
NPI Number: | 1881758548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | R052355-1 |
Business Practice Address: | 1110 Hide Away Ln Kodak, TN - 377642600 |
Business Phone Number: | 8658509745 |
Business Fax Number: | 8659336015 |
Mailing Address: | 1110 Hide Away Ln, KODAK |
State: | TN |
Postal Code: | 377642600 |
Phone Number: | 8658509745 |
Fax Number: | 8659336015 |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 11/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R052355-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |