Provider Demographics
NPI:1821146275
Name:LEGER-MAPLES, LILIANNE JEANNE (MSW)
Entity Type:Individual
Prefix:MS
First Name:LILIANNE
Middle Name:JEANNE
Last Name:LEGER-MAPLES
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 1:129 KEEN PL
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13207-2225
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 SOUTH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-3833
Practice Address - Country:US
Practice Address - Phone:315-252-6978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0284711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical