Individual
MS. HAVEN JANE LELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
927 N MAIN ST, MARION, VA 24354-4117
(276) 783-7529
Mailing address
927 N MAIN ST, MARION, VA 24354-4117
(276) 783-7529
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
69697
VA
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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