MISS Leah Blacktop
NPI #1487317764 in East Jordan, Michigan
Provider Information
- NPI Number
- 1487317764
- Entity Type
- Individual
- Name
- MISS Leah Blacktop
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 14, 2021
- Last Updated
- Oct 14, 2021
Practice Location
- Address
- 601 BRIDGE ST
- City
- East Jordan
- State
- Michigan
- ZIP Code
- 49727-9383
- Phone
- (231) 536-2206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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