Individual
MARY KATHLEEN LEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1200 VALLEY WEST DR STE 508, WEST DES MOINES, IA 50266-1906
(515) 414-5337
Mailing address
1800 GRAND AVE APT 256, WEST DES MOINES, IA 50265-5040
(515) 414-5337
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
084478
IA
Other
Enumeration date
03/25/2020
Last updated
03/30/2020
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