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Organization
LEAP ORGANIZATION
Active
Organization
LEAP ORGANIZATION
Active
Other names
L.E.A.P Org
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GARRETT (EXECUTIVE DIRECTOR)
(931) 378-0500
Entity
Organization
Contact information
Practice address
1860 WILMA RUDOLPH BLVD, SUITE 100, CLARKSVILLE, TN 37040-6669
(931) 378-0500
(931) 274-0929
Mailing address
1860 WILMA RUDOLPH BLVD, SUITE 100, CLARKSVILLE, TN 37040-6669
(931) 378-0500
(931) 274-0929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
10/03/2013
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