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 Date2024-03-18
Business Address
KELLY M LEACH LCSW
5010 N STONE MILL RD STE B
BLOOMINGTON, IN 47408-9320
Phone number: 812-929-2193
Mailing Address
KELLY M LEACH LCSW
5010 N STONE MILL RD STE B
BLOOMINGTON, IN 47408-9320
Phone number: 812-929-2193