Individual
MS. JACQUELINE COLLETTE LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 N 16TH ST, LAFAYETTE, IN 47904
(765) 423-6300
(765) 423-6301
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/12/2009
Last updated
03/20/2021
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