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1942772074
SHANNON T LEACH
LOUISVILLE, KY
NPI
1942772074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-12-31
Last Update Date
2018-12-31
Business Address
SHANNON T LEACH BA CMS
4835 POPLAR LEVEL RD STE 110
LOUISVILLE, KY 40213-2906
Phone number: 502-443-5273
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Mailing Address
SHANNON T LEACH BA CMS
11110 LITTLE SPRING BLVD
LOUISVILLE, KY 40291-5066
Phone number: 502-712-8905
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