Individual
CARLA J LEATHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 10TH ST, WICHITA FALLS, TX 76301-5010
(940) 696-6200
(940) 696-6210
Mailing address
1709 10TH ST, WICHITA FALLS, TX 76301-5010
(940) 696-6200
(940) 696-6210
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
TX
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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