SHANE LEACH

GLENDALE, WI
NPI1861332827
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  12713-123)
Enumeration Date2026-03-30
Last Update Date2026-05-05
Business Address
SHANE LEACH LCSW
5555 N PORT WASHINGTON RD STE 200
GLENDALE, WI 53217-4927
Phone number: 262-999-3495
Mailing Address
SHANE LEACH LCSW
5555 N PORT WASHINGTON RD STE 200
GLENDALE, WI 53217-4927
Phone number: 262-999-3495
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