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Individual

MS. DEBORAH A LEIGHTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LCAS

Contact information

Practice address
5200 PARK RD, SUITE 200-C, CHARLOTTE, NC 28209-3650
(704) 814-9850
(704) 631-4578
Mailing address
6317 SOUTH BEND LANE, CHARLOTTE, NC 28277-4659
(704) 814-9850
(704) 814-9850

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
370
NC
1041C0700X
Clinical Social Worker
Primary
C003919
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6003191
NC
Enumeration date
02/28/2007
Last updated
10/24/2015
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