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Individual

MRS. LEIGH HARLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-A

Contact information

Practice address
2000 TOWN CENTER, STE 1900, PRIMESOURCE OF MICHIGAN LLC, SOUTHFIELD, MI 48075-1135
(800) 317-0711
Mailing address
2100 E LAKE COOK RD STE 1100, PRIMESOURCE HEALTHCARE SYSTEMS, INC, BUFFALO GROVE, IL 60089-1815
(847) 267-8200
(877) 821-6402

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000691
MI

Other

Enumeration date
10/16/2014
Last updated
10/16/2014
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