CHANDON LECKRON

INDEPENDENCE, MO
NPI1558800573
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-02-23
Last Update Date2017-02-23
Business Address
-- CHANDON LECKRON BA, MAADC II
3205 N TWYMAN RD
INDEPENDENCE, MO 64058-3211
Phone number: 812-552-1772
Mailing Address
-- CHANDON LECKRON BA, MAADC II
3205 N TWYMAN RD
INDEPENDENCE, MO 64058-3211
Phone number: 812-552-1772
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