Individual
PATRICK LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
23403 E MISSION AVE STE 220H, LIBERTY LAKE, WA 99019-5112
(509) 506-3811
(509) 506-3822
Mailing address
412 S LETA RD, SPOKANE VALLEY, WA 99216-0714
(505) 615-5226
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60845284
WA
104100000X
Social Worker
M-09253
NM
104100000X
Social Worker
X-09165
NM
Other
Enumeration date
06/26/2015
Last updated
11/12/2021
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