Individual
LEAH LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2085 S MILLEDGE AVE, ATHENS, GA 30605-1655
(706) 389-6789
(706) 227-7249
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 389-6789
(706) 227-7249
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW005142
GA
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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