Individual
JACKIE R LEIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7301 NW 4TH ST, SUITE 101, PLANTATION, FL 33317-2234
(954) 626-0944
(954) 553-6534
Mailing address
7301 NW 4TH ST, SUITE 101, PLANTATION, FL 33317-2234
(954) 626-0944
(954) 553-6534
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50004
FL
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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