Martha Marie Leichliter
NPI #1205650926 in Mannington, West Virginia
Provider Information
- NPI Number
- 1205650926
- Entity Type
- Individual
- Name
- Martha Marie Leichliter
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Nov 9, 2024
- Last Updated
- Jan 31, 2025
Practice Location
- Address
- 201 LOCUST ST
- City
- Mannington
- State
- West Virginia
- ZIP Code
- 26582-1350
- Phone
- (304) 376-3572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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