Individual
MR. MICHAEL LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
95 BERKELEY ST, SUITE 201A, BOSTON, MA 02116-6230
(857) 383-6966
(617) 661-9051
Mailing address
95 BERKELEY ST, SUITE 201A, BOSTON, MA 02116-6230
(857) 383-6966
(617) 661-9051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
220618
MA
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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