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CYNTHIA LEACH

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1265804389

Individual Registrant:
 CYNTHIA  LEACH 
Gender: F
Sole Proprietor

Location and contact information for practice:
604 TIFFANY DRIVE  LAVACA, AR 72941 US
Tel: 479-629-0526  Fax: --

Contact information for business:
604 TIFFANY DR  LAVACA, AR 72941-3845 US
Tel: 479-629-0526  Fax: --

Registration Information:
NPI: 1265804389
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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