Provider Demographics
NPI:1457695256
Name:LEGER, ALLISON KATHRYN
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:KATHRYN
Last Name:LEGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3142 ELKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34691-4627
Mailing Address - Country:US
Mailing Address - Phone:316-371-9168
Mailing Address - Fax:
Practice Address - Street 1:3142 ELKRIDGE DR
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34691-4627
Practice Address - Country:US
Practice Address - Phone:316-371-9168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker