Individual
BRIDGET E LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4150 CLEMENT ST, VA MEDICAL CENTER, 116-P, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
4150 CLEMENT ST, VA MEDICAL CENTER, 116-P, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26501
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
12/21/2010
Last updated
12/21/2010
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