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Individual

MRS. ALYSON PAIGE LEASURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
220 N PLAZA BLVD, CHILLICOTHE, OH 45601-1787
(740) 851-6493
Mailing address
5439 BURKHARDT RD, DAYTON, OH 45431-2111
(937) 791-1440
(937) 938-8292

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.170762
OH
104100000X
Social Worker
Primary
I.2406020
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0059162
OH
Enumeration date
06/14/2019
Last updated
11/02/2024
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