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Individual

ALEXANDRA JEAN LEAHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2235
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2235

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
37736
ID

Other

Enumeration date
06/04/2018
Last updated
10/16/2019
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