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Individual

TIMOTHY GERARD LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
680 3 MILE RD NW STE 150, GRAND RAPIDS, MI 49544-8218
(616) 647-3460
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6801082003
MI

Other

Enumeration date
01/26/2010
Last updated
02/03/2026
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