Individual
MS. ELISA LEEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
401 NE 4TH ST, FORT LAUDERDALE, FL 33301-1151
(954) 453-6400
(954) 764-6458
Mailing address
401 NE 4TH ST, FORT LAUDERDALE, FL 33301-1151
(954) 453-6400
(954) 764-6458
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT 1799
FL
Other
Enumeration date
04/22/2013
Last updated
01/23/2014
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