Individual
EMILIE CAITLIN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
16335 HARLEM AVE STE 300, TINLEY PARK, IL 60477-2574
(773) 598-8723
Mailing address
290 N 2ND ST, SAN JOSE, CA 95112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
180016027
IL
Other
Enumeration date
12/18/2019
Last updated
10/16/2024
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