Individual
KATIE LEIKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
315 W PONCE DE LEON AVE, SUITE 847, DECATUR, GA 30030-2400
(404) 702-1452
Mailing address
769 SUNNYBROOK DR, DECATUR, GA 30033-4734
(404) 702-1452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006045
GA
Other
Enumeration date
11/30/2016
Last updated
05/11/2017
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