Individual
MISS LEAH LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1307 W MAIN ST, MARION, IL 62959-1139
(618) 997-5336
(618) 993-2969
Mailing address
10527 POMPEY WAY, NORTHGLENN, CO 80234-3745
(618) 521-5529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW.09923936
CO
Other
Enumeration date
10/07/2011
Last updated
11/22/2021
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