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Leah Black, LCSW
NPI 1003107731 · on the registry since 2011
Practice
- Address
- 310 E Broadway Ave
Jackson, WY 83001 - Phone
- (307) 654-7003
- Fax
- (307) 224-4973
- Organisation at this address
- Orthopedic Sports Trauma Llc
Jackson Hole Mental Health LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming