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Organization

BODYLIFE WORKS, INC.

Active
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Organization

BODYLIFE WORKS, INC.

Active
Other names
Mandy Leonards, MSW, LCSW
Organization subpart
No

Provider details

NPI number
Authorized official
MANDY LEONARDS MSW, LCSW (OWNER)
(317) 313-0620
Entity
Organization

Contact information

Practice address
10698 BRIARLAKE WOODS DR, SAN DIEGO, CA 92130-4832
(317) 313-0620
Mailing address
10698 BRIARLAKE WOODS DR, SAN DIEGO, CA 92130-4832
(317) 313-0620

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3400744A
LCSW
IN
01
99310
LCSW
CA
Enumeration date
06/30/2022
Last updated
06/30/2022
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