Individual
LEILA KAY CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
224Z00000X
Occupational Therapy Assistant
Primary
2125
TN
Other
Enumeration date
02/02/2007
Last updated
01/12/2015
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