Individual
MR. JEAN G LEOPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3102 5TH ST W, LEHIGH ACRES, FL 33971-1441
(239) 265-6214
(239) 433-6703
Mailing address
3102 5TH ST W, LEHIGH ACRES, FL 33971-1441
(239) 265-6214
(239) 433-6703
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
FL
222Q00000X
Developmental Therapist
Primary
—
FL
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009507200
—
FL
05
—
1326235045
—
FL
Enumeration date
09/26/2007
Last updated
11/29/2024
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