Individual
KATHLEEN R. LEAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-5005
(727) 398-6661
Mailing address
PO BOX 5005, BAY PINES, FL 33744-5005
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0687G
AL
Other
Enumeration date
09/22/2006
Last updated
04/10/2008
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