Individual
LACI LEICHLITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
106 WILLOW RD, GOODLAND, KS 67735-1518
(785) 890-4030
(785) 890-6077
Mailing address
106 WILLOW RD, GOODLAND, KS 67735-1518
(785) 890-4030
(785) 890-6077
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9418
KS
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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