Individual
MADALYN LEATHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
187 BEALLWOOD DR, HARLEM, GA 30814-4944
(762) 233-4053
Mailing address
187 BEALLWOOD DR, HARLEM, GA 30814-4944
(901) 651-8914
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001727
GA
Other
Enumeration date
03/24/2020
Last updated
03/17/2025
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