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Individual
MARTHA L LEESMAN
Active
Individual
MARTHA L LEESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13842
TX
103T00000X
Psychologist
13842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028480401
—
TX
01
—
13842
LICENSE
TX
01
—
4179LC
BCBS
TX
Enumeration date
09/14/2006
Last updated
12/29/2023
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