Individual
KRISTI S LEAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2285 E 300 S, TIPTON, IN 46072-9210
(765) 210-6263
Mailing address
2671 S 600 W, RUSSIAVILLE, IN 46979-9052
(765) 883-5528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004217A
IN
Other
Enumeration date
07/12/2021
Last updated
10/18/2024
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