Healthcare Provider Details

I. General information

NPI: 1730476433
Provider Name (Legal Business Name): MS. ARGYRO V LEIGHTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ARGYRO V KORLOU

II. Dates (important events)

Enumeration Date: 06/30/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 CORUNNA RD
FLINT MI
48503-3254
US

IV. Provider business mailing address

70 LAFAYETTE ST
PONTIAC MI
48342-2033
US

V. Phone/Fax

Practice location:
  • Phone: 810-235-6812
  • Fax: 810-234-7022
Mailing address:
  • Phone: 248-338-7458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801095774
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: