| Leanne Peterson Llc | |
|
5311 Kirby Dr #204 Houston TX 77005-1364 | |
| (203) 903-7005 | |
| Not Available |
| Full Name | Leanne Peterson Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5311 Kirby Dr, Houston, Texas |
| Authorized Official Name and Position | Leanne Michelle Peterson (OWNER/DIRECTOR) |
| Authorized Official Contact | 2039037005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leanne Peterson Llc Po Box 66715 Houston TX 77266-6715 Ph: (203) 903-7005 | Leanne Peterson Llc 5311 Kirby Dr #204 Houston TX 77005-1364 Ph: (203) 903-7005 |
| NPI Number | 1114386257 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114386257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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