Provider Demographics
NPI:1306903497
Name:RUBBA-CAMERON, LEAH (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:RUBBA-CAMERON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 WOODLAKE DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3603
Mailing Address - Country:US
Mailing Address - Phone:856-988-3115
Mailing Address - Fax:856-988-3129
Practice Address - Street 1:3001 I GREENTREE EXECUTIVE CAMPUS
Practice Address - Street 2:LINCOLN DRIVE WEST
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:856-988-3115
Practice Address - Fax:856-988-3129
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC040031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical