Individual
MR. DAVID ANTHONY LEOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
364 SALEM GLEN WAY SE, CONYERS, GA 30013-5337
(810) 845-5762
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW011830
GA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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