Mallory Leatherman 062519
Mallory Leatherman 062519 is a Mental Health Counselor in Fort Wayne, Indiana. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
3900 Hursh RdFort Wayne, IN 46845-9677
Phone: (260) 637-3608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1659932069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 26, 2019 |
| Last updated in NPPES | June 26, 2019 |
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