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1104172980
LEISHA R RISTAU
ANKENY, IA
NPI
1104172980
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Former Name
LEISHA R STAPLES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 007931)
Enumeration Date
2012-07-30
Last Update Date
2024-02-27
Business Address
LEISHA R RISTAU LISW
2425 N ANKENY BLVD STE 106
ANKENY, IA 50023-4722
Phone number: 515-489-4602
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Mailing Address
LEISHA R RISTAU LISW
2425 N ANKENY BLVD STE 106
ANKENY, IA 50023-4711
Phone number: 515-489-4602
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