Individual
LEIGH REGINE WESTERGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
114 E MAIN ST # A1B-20, BUFORD, GA 30518
(219) 898-9103
Mailing address
114 E MAIN ST # A1B-20, BUFORD, GA 30518
(219) 898-9103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34008607A
IN
1041C0700X
Clinical Social Worker
Primary
CSW007494
GA
Other
Enumeration date
10/31/2017
Last updated
07/14/2023
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