Individual
CYNTHIA LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 TIFFANY DRIVE, LAVACA, AR 72941
(479) 629-0526
Mailing address
604 TIFFANY DR, LAVACA, AR 72941-3845
(479) 629-0526
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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