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Individual

MICAH LYNN LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
321 E MAIN ST STE 418, BOZEMAN, MT 59715-4702
(406) 580-8082
Mailing address
1241 N 12TH AVE APT 301, BOZEMAN, MT 59715-4396
(406) 580-8082

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-90172
MT

Other

Enumeration date
07/16/2026
Last updated
07/16/2026
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