Individual
MRS. MARY JO LEIMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
42 SEAVERS RD, MILAN, TN 38358-6176
(217) 917-5764
Mailing address
42 SEAVERS RD, MILAN, TN 38358-6176
(217) 917-5764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.013811
IL
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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