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1104831528
PHYLLIS H. LEAKE
SANFORD, NC
NPI
1104831528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C000926)
Enumeration Date
2006-07-31
Last Update Date
2008-03-25
Business Address
-- PHYLLIS H. LEAKE LCSW
130 CARBONTON RD
SANFORD, NC 27330-4009
Phone number: 919-774-6521
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Mailing Address
-- PHYLLIS H. LEAKE LCSW
PO BOX 9
WEST END, NC 27376-0009
Phone number: 910-673-9111
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