Individual
STACI LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1941 S 42ND ST STE 514, OMAHA, NE 68105-2981
(402) 614-8444
Mailing address
1941 S 42ND ST STE 514, OMAHA, NE 68105-2981
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8284
NE
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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