Individual
JANESE LEATHERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13500 SE 7TH ST, VANCOUVER, WA 98683-6909
(360) 699-2244
Mailing address
6514 SE 57TH PL, PORTLAND, OR 97206-7574
(208) 705-0547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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