Eda Leach
Eda Leach provides Social Worker services in Wyoming, Michigan. Licensed in Michigan. Registered with an NPI since 2010.
- Licensed in
- MI
- In the registry since
- 2010
- Specialties on file
- 3
Practice location Address checks out
1746 Den Hertog St SWWyoming, MI 49519-3337 Not confirmed with CMS for 16 years — call before visiting
Phone: (616) 531-1142
Fax: (616) 531-1142
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 638107811 (MI) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence 638107811 (MI) |
| Point of Service | Taxonomy 305S00000X · Licence 638107811 (MI) |
Record details
| NPI number | 1619294634 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eda Leach — Social Worker · (616) 531-1142 |
| Other names | Eda Leach |
| NPI enumerated | April 29, 2010 |
| Last updated in NPPES | April 29, 2010 |
| Mailing address | 1746 Den Hertog St Sw, Wyoming, MI 49519-3337 |
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