Individual
LEIGH C SMITH-CLOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
203 W PIONEER AVE STE 1, HOMER, AK 99603-7527
(907) 235-0302
Mailing address
4300 BARTLETT ST, HOMER, AK 99603-7005
(907) 235-0302
(907) 235-0810
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
952
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG799
—
AK
05
—
HC2563
—
AK
05
—
HH2711
—
AK
05
—
MS0272
—
AK
05
—
NA3799
—
AK
05
—
PCG519A
—
AK
Enumeration date
11/24/2010
Last updated
11/24/2010
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