EDA LEACH
Managed Care Organizations at Den Hertog St, Wyoming, MI

License number
Michigan 638107811
Category
Social Work
Type
Social Worker
License number
Michigan 638107811
Category
Managed Care Organizations
Type
Exclusive Provider Organization
License number
Michigan 638107811
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: MS. EDA MONICA LEACH LMSW
Title: SOCIAL WORKER
Phone: (616) 531-1142
Address
Address
1746 Den Hertog St SW, Wyoming, MI 49519
National Provider ID: 1619294634
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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