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Individual

MRS. ANGELA MCMATH LEEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMFT, LPC

Contact information

Practice address
230 W CENTER ST, FAYETTEVILLE, AR 72701-5934
(479) 668-3688
Mailing address
230 W CENTER ST, FAYETTEVILLE, AR 72701-5934
(479) 668-3688
(866) 649-6788

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1710368
AR
106H00000X
Marriage & Family Therapist
M1303002
AR
106H00000X
Marriage & Family Therapist
MFC45155
CA

Other

Enumeration date
12/18/2006
Last updated
02/13/2018
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