Individual
MR. CRAIG YHANCE MCLEISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1428 SOPHIE WAY, KISSIMMEE, FL 34744-3982
(407) 455-1097
Mailing address
1428 SOPHIE WAY, KISSIMMEE, FL 34744-3982
(407) 455-1097
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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