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Carol Leak

NPI 1780224360 · on the registry since 2020

Practice

Address
6450 Southcenter Blvd
Tukwila, WA 98188
Phone
(206) 466-5012
Fax
(206) 453-4404
Clinicians at this address
8

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-31

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 Washington