Organization
KATIE LEIKAM, LLC
Active
Organization
KATIE LEIKAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE LEIKAM (OWNER)
(706) 201-3531
Entity
Organization
Contact information
Practice address
108 PONCE DE LEON CT, SUITE 201, DECATUR, GA 30030-1960
(404) 702-1452
Mailing address
769 SUNNYBROOK DR, DECATUR, GA 30033-4734
(706) 201-3531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006045
GA
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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