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Individual

ALLISON LEATHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1106 N 155TH ST STE B, BASEHOR, KS 66007-7100
(913) 662-7071
Mailing address
811 GRANT ST APT 112, GREAT BEND, KS 67530-3533
(785) 299-0033

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
06/14/2017
Last updated
07/21/2022
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