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Organization
KRISTA L. LEINBERGER, LLC
Active
Organization
KRISTA L. LEINBERGER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA LYNN LIST-LEINBERGER LMSW (PRESIDENT/THERAPIST)
(616) 710-1379
Entity
Organization
Contact information
Practice address
548 FAIRVIEW AVE NE APT 1, GRAND RAPIDS, MI 49503-2581
(616) 710-1379
Mailing address
PO BOX 1626, GRAND RAPIDS, MI 49501-1626
(616) 710-1379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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