Provider Demographics
NPI:1164654786
Name:LEFF, VICTORIA RANCE (MSW)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:RANCE
Last Name:LEFF
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 WAKEHURST DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-5107
Mailing Address - Country:US
Mailing Address - Phone:919-355-2334
Mailing Address - Fax:
Practice Address - Street 1:508 WAKEHURST DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-5107
Practice Address - Country:US
Practice Address - Phone:919-355-2334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-15
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0028241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical