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1194782813
JERRY PATRICK LEAHY
ROANOKE, VA
NPI
1194782813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810001232)
Enumeration Date
2006-04-27
Last Update Date
2007-09-21
Business Address
Dr. JERRY PATRICK LEAHY Ph.D.
3371 MELODY AVE
ROANOKE, VA 24018-3115
Phone number: 540-772-0661
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Mailing Address
Dr. JERRY PATRICK LEAHY Ph.D.
3371 MELODY AVE
ROANOKE, VA 24018-3115
Phone number: 540-772-0661
Copy
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