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1629711452
MICHAEL P LEACH
LONGVIEW, WA
NPI
1629711452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA 61294471)
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
MICHAEL P LEACH AAC, CPC
910 16TH AVE STE 120
LONGVIEW, WA 98632-2374
Phone number: 360-200-5419
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Mailing Address
MICHAEL P LEACH AAC, CPC
PO BOX 2394
LONGVIEW, WA 98632-8455
Phone number: 360-200-5419
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