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Individual

ANTHONY J LEIKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
8202 BANGOR AVE, LUBBOCK, TX 79424-3425
(806) 794-0966
(806) 798-9822
Mailing address
8202 BANGOR AVE, LUBBOCK, TX 79424-3425
(806) 794-0966
(806) 794-0966

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
013403
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116168902
TX
Enumeration date
04/17/2007
Last updated
07/25/2014
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