Individual
KATHRYN KELEEN LEASURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
267 JOHN KNOX RD STE 114, TALLAHASSEE, FL 32303-6628
(850) 807-9801
Mailing address
192 PARKBROOK CIR, TALLAHASSEE, FL 32301-8915
(850) 290-4052
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11520
FL
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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