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NPI Code Detail

MEDICARE: MS. NACHA LEAF

MEDICARE: MS. NACHA LEAF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker680101013117MI

General Provider Information

NPI Number : 1548462187
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NACHA LEAF
Provider Business Mailing Address
First Line : 6555 W MAPLE RD
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-4926
Country : US
Telephone Number : 248-592-3965
Fax Number :
Provider Business Practice Location Address
First Line : 6555 W MAPLE RD
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-4926
Country : US
Telephone Number : 248-592-3965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2007
Last Update Date : 02/03/2026

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Directions to “ MS. NACHA LEAF ” Practice Location

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