KELLY M LEACH

BLOOMINGTON, IN
NPI1548835796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34010708A)
Additional Taxonomies104100000X Social Worker
(Licence: IN  33008773a)
Enumeration Date2021-05-20
Last Update Date2025-07-21
Business Address
KELLY M LEACH LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
Mailing Address
KELLY M LEACH LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: