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1306426978
JEREMY LEAKE
PLANO, TX
NPI
1306426978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 66740)
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
JEREMY LEAKE LCSW
4601 YORKSHIRE TRL
PLANO, TX 75093-5243
Phone number: 214-769-6627
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Mailing Address
JEREMY LEAKE LCSW
4601 YORKSHIRE TRL
PLANO, TX 75093-5243
Phone number: 214-769-6627
Copy
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