Organization
MOMO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MCCLAIN LEEDS OWENS LCSW (OWNER)
(502) 509-9436
Entity
Organization
Contact information
Practice address
162 GLENN PL, LEXINGTON, KY 40505-3519
(502) 509-9436
Mailing address
743 E BROADWAY # 217, LOUISVILLE, KY 40202-1711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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