Individual
AUTUMN LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5059 WALBRIDGE RD, NORTHWOOD, OH 43619-2635
(419) 917-7037
Mailing address
3925 PLUMEY RD APT B, NORTHWOOD, OH 43619-1865
(419) 932-0152
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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