Individual
LEAH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
63485 N HIGHWAY 97 # 1012C, BEND, OR 97703-6877
(312) 523-9234
Mailing address
63485 N HIGHWAY 97 # 1012C, BEND, OR 97703-6877
(312) 523-9234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6789
OR
Other
Enumeration date
05/27/2011
Last updated
05/17/2022
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