Individual
KIAN LEGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, SMMHS
Contact information
Practice address
270 MOX CHEHALIS RD, ELMA, WA 98541-9237
(253) 299-4664
(253) 993-4566
Mailing address
270 MOX CHEHALIS RD, ELMA, WA 98541-9237
(253) 299-4664
(253) 993-4566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60996401
WA
1041C0700X
Clinical Social Worker
SC60697576
WA
Other
Enumeration date
11/15/2018
Last updated
03/12/2021
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