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Individual

LEIGHANNE WAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
111 2ND AVE NE STE 700, ST PETERSBURG, FL 33701-3441
(800) 975-4819
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
247.000143
IL
170300000X
Genetic Counselor (M.S.)
Primary
GC64
FL

Other

Enumeration date
02/23/2021
Last updated
09/20/2024
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