Individual
KELLI D LEGLEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
5815 BROADWAY, GREAT BEND, KS 67530-3123
(620) 792-2544
(620) 792-2544
Mailing address
5815 BROADWAY, GREAT BEND, KS 67530-3123
(620) 792-2544
(620) 792-4323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 2385
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200654610A
—
KS
Enumeration date
06/07/2010
Last updated
02/27/2013
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