Individual
LEIGHANN MARIE BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3623 WIRELESS CT, LAS VEGAS, NV 89129-5050
(773) 531-9189
Mailing address
3623 WIRELESS CT, LAS VEGAS, NV 89129-5050
(773) 531-9189
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6385-C
NV
101YM0800X
Mental Health Counselor
6385-C
NV
1041C0700X
Clinical Social Worker
Primary
6385-C
NV
Other
Enumeration date
03/26/2011
Last updated
12/19/2012
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