Individual
ALYNDRIA JADE LEIFHEIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 COUNTY ROAD 12, MYRTLE, MS 38650-8536
(662) 387-8150
Mailing address
1023 COUNTY ROAD 12, MYRTLE, MS 38650-8536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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