Individual
JILL LEITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1698 RED LANE EXT, SALEM, VA 24153-1712
(540) 958-3045
Mailing address
1698 RED LANE EXT, SALEM, VA 24153-1712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017943
VA
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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