KIMBERLY MARIE LEAK

BRONX, NY
NPI1881022648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-10-14
Last Update Date2013-10-14
Business Address
Ms. KIMBERLY MARIE LEAK CASACT 25829
1734 ADAMS ST # 1
BRONX, NY 10460-2609
Phone number: 646-539-0264
Mailing Address
Ms. KIMBERLY MARIE LEAK CASACT 25829
1734 ADAMS ST # 1
BRONX, NY 10460-2609
Phone number: 646-539-0264