Individual
DALLAS HUNTER LEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BACHELORS
Contact information
Practice address
EAST JEFFERSON AVENUE, BASTROP, LA 71220
(318) 536-9084
Mailing address
9261 HIGHWAY 80, SIMSBORO, LA 71275-3005
(318) 536-9084
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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