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1134585714
JEFF LEACH
BOSSIER CITY, LA
NPI
1134585714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-01-12
Last Update Date
2016-01-12
Business Address
-- JEFF LEACH
1800 BAYOU CIR
BOSSIER CITY, LA 71112-4037
Phone number: 318-560-0145
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Mailing Address
-- JEFF LEACH
1800 BAYOU CIR
BOSSIER CITY, LA 71112-4037
Phone number: 318-560-0145
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