Individual
LEAH MAILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3805 22ND ST STE 1C, LUBBOCK, TX 79410-1142
(806) 535-4626
Mailing address
5605 112TH ST, LUBBOCK, TX 79424-7584
(806) 535-4626
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
59837
TX
Other
Enumeration date
06/04/2019
Last updated
07/22/2019
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