Leona Backus
Social Worker, Clinical in Fort Myers, FL. Individual provider (NPI-1).
NPI number1104248277
StatusActive
Last updated in NPPESJan 9, 2014
Details
- NPI
- 1104248277
- Entity type
- Individual (NPI-1)
- Name
- Leona Backus
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2014
- Last updated
- Jan 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2789 Ortiz AveFort Myers, FL 33905-7806
Phone 239-275-3222 · Fax 239-278-9058
Mailing address
9440 Ivy Brook Run#509
Fort Myers, FL 33913-7759
Phone 202-579-2079
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