Individual
LANA LOUISE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 371-8086
Mailing address
677 SMITH ST, CANON CITY, CO 81212-8658
(719) 371-8086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
989427
CO
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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