Individual
ALLISON MALIA LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHP
Contact information
Practice address
309 RIMINGTON LN APT 309, DECATUR, GA 30030-2134
(678) 350-3964
Mailing address
309 RIMINGTON LN APT 309, DECATUR, GA 30030-2134
(678) 350-3964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
149.023403
IL
1041C0700X
Clinical Social Worker
Primary
CSW007816
GA
Other
Enumeration date
12/31/2018
Last updated
03/03/2023
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