SHANNON T LEACH

LOUISVILLE, KY
NPI1942772074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2018-12-31
Last Update Date2018-12-31
Business Address
SHANNON T LEACH BA CMS
4835 POPLAR LEVEL RD STE 110
LOUISVILLE, KY 40213-2906
Phone number: 502-443-5273
Mailing Address
SHANNON T LEACH BA CMS
11110 LITTLE SPRING BLVD
LOUISVILLE, KY 40291-5066
Phone number: 502-712-8905