Individual
LEEANNE MARIE LOVE WOOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AFC LICENSEE
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
AF260401827
MI
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
Update your record
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