Individual
JESSICA LOREN LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1816 WELLBORN DR, COLUMBUS, GA 31907-3551
(260) 385-1121
Mailing address
1816 WELLBORN DR, COLUMBUS, GA 31907-3551
(260) 385-1121
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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