Individual
HOLLY A LEUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
211 BIEDE AVE, DEFIANCE, OH 43512-2408
(419) 782-8856
Mailing address
211 BIEDE AVE., DEFIANCE, OH 43512-2497
(419) 782-8856
(419) 782-2261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
S.1200925
OH
170300000X
Genetic Counselor (M.S.)
Primary
I.1500086
OH
Other
Enumeration date
04/03/2013
Last updated
02/10/2015
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