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NPI Code Detail

MEDICARE: MISS LOUISE L LEONARD

MEDICARE: MISS LOUISE L LEONARD
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
1101YA0400XAddiction (Substance Use Disorder) CounselorLCDCIII.162720OH
2104100000XSocial WorkerS.2411721OH

General Provider Information

NPI Number : 1689321671
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LOUISE L LEONARD
Provider Business Mailing Address
First Line : 6140 S BROADWAY
Second Line :
City : LORAIN
State : OH
Zip : 44053-3821
Country : US
Telephone Number : 440-233-7232
Fax Number : 440-233-9070
Provider Business Practice Location Address
First Line : 6140 S BROADWAY
Second Line :
City : LORAIN
State : OH
Zip : 44053-3821
Country : US
Telephone Number : 440-233-7232
Fax Number : 440-233-9070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2022
Last Update Date : 12/02/2025

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Directions to “ MISS LOUISE L LEONARD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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