Individual
LEA MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
449 HITCHCOCK ST, BARABOO, WI 53913-2876
(608) 355-4103
Mailing address
449 HITCHCOCK ST, BARABOO, WI 53913-2876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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