Individual
LEIGH ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9747 SNOW HILL RD, OOLTEWAH, TN 37363-9403
(423) 298-2787
Mailing address
9747 SNOW HILL RD, OOLTEWAH, TN 37363-9403
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0000003124
TN
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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