Individual
LEANN LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
2660 BOBWHITE TRAIL, EDMOND, OK 73025
(405) 340-8260
(405) 341-0049
Mailing address
2660 BOBWHITE TRAIL, EDMOND, OK 73025
(405) 340-8260
(405) 341-0049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1548
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100721530A
—
OK
Enumeration date
07/06/2006
Last updated
07/28/2010
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