Individual
RENEE LEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 CRAIG DR, ABILENE, TX 79606-5569
(325) 338-8236
Mailing address
4010 CRAIG DR, ABILENE, TX 79606-5569
(325) 338-8236
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
95153
TX
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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