Individual
MRS. AUTUMN LYNN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
301 NE TUDOR RD, LEES SUMMIT, MO 64086-5702
(816) 986-1000
Mailing address
2613 SW WINTERVIEW CIR, LEES SUMMIT, MO 64081-4095
(816) 554-1412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
351319
MO
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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