Individual
SARA LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
640 JACKSON ST # MC11106G, SAINT PAUL, MN 55101-2502
(651) 254-2256
(651) 254-2801
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-4816
(651) 254-2801
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24433
MN
Other
Enumeration date
12/14/2020
Last updated
12/30/2020
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