Individual
MRS. JESSICA LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
20740 S ELLSWORTH RD, QUEEN CREEK, AZ 85242-9058
(480) 987-5900
Mailing address
3793 W SOUTH BUTTE RD, QUEEN CREEK, AZ 85242-6590
(480) 987-5900
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LMSW-12194
AZ
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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