Individual
KAISLEY MARIE LEICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(855) 832-6727
Mailing address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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