Individual
MR. ARMOND B. LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2305 N PARHAM RD, SUITE 3, RICHMOND, VA 23229-3156
(804) 270-1124
(804) 270-2090
Mailing address
2305 N PARHAM RD, SUITE 3, RICHMOND, VA 23229-3156
(804) 270-1124
(804) 270-2090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002930
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131865
VALUE OPTIONS PROVIDER NO
VA
Enumeration date
04/10/2007
Last updated
07/08/2007
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