Individual
MS. LEISIA KRISTINA LANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
5966 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-0387
(270) 904-5104
(270) 201-5980
Mailing address
127 E WHITE OAK ST STE B, LEITCHFIELD, KY 42754-1466
(270) 904-5104
(270) 201-5980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6740
KY
1041C0700X
Clinical Social Worker
Primary
255423
KY
Other
Enumeration date
06/26/2014
Last updated
01/20/2021
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