Individual
MRS. LEASA L MOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
1729 27TH ST BLDG G, PORTSMOUTH, OH 45662-2638
(740) 354-1434
(740) 353-8811
Mailing address
1729 27TH STREET BLDG G, PORTSMOUTH, OH 45662
(740) 354-1434
(740) 353-8811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E0003286
OH
Other
Enumeration date
06/05/2007
Last updated
12/20/2023
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