Individual
REBECCA JILL LEITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 24TH AVE S, SEATTLE, WA 98144-4637
(206) 382-5340
Mailing address
656 NW 81ST ST, SEATTLE, WA 98117-4054
(914) 471-5610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LW 60389096
WA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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