Individual
BOBBIE JH LEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 E MILL ST, BLOOMINGTON, IL 61701-5336
(309) 824-5024
Mailing address
413 E MILL ST, BLOOMINGTON, IL 61701-5336
(309) 824-5024
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/15/2008
Last updated
05/23/2012
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