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Individual

JUANITA LEICHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4951 CENTRAL AVE, MONROE, LA 71203
(318) 340-1535
Mailing address
4951 CENTRAL AVE, MONROE, LA 71203-6156
(318) 340-1535

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1992187322
NPI
LA
Enumeration date
05/09/2016
Last updated
06/01/2018
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