EDA LEACH

Exclusive Provider Organization · WYOMING, MI

Organization Active NPI 1619294634

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Exclusive Provider Organization302F00000X638107811MI
Social Worker104100000X638107811MI
Point of Service305S00000X638107811MI

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.