Individual
MOLLY LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-S
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8601
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60235
TX
Other
Enumeration date
02/23/2018
Last updated
04/26/2026
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