Individual
JOHANNA LEIGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 RIVER RD, EUGENE, OR 97404-3212
(541) 689-8795
Mailing address
1475 FRANKLIN BLVD, EUGENE, OR 97403
(541) 302-3767
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/09/2007
Last updated
10/18/2010
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