Individual
MISS JOY D LEATHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
610 N SILVER ST, SILVER CITY, NM 88061-6779
(575) 956-6131
(575) 956-6947
Mailing address
PO BOX 325, SILVER CITY, NM 88062-0325
(575) 956-6131
(575) 956-6947
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1150
NM
Other
Enumeration date
09/01/2021
Last updated
09/14/2021
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