Individual
ANTHONY THOMAS LEOGRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 BRIAR MEADOW DR, CARL JUNCTION, MO 64834-9690
(415) 755-8463
Mailing address
122 BRIAR MEADOW DR, CARL JUNCTION, MO 64834-9690
(415) 755-8463
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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