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Individual
MR. LESLIE OWEN KUBERSKI
Active
Individual
MR. LESLIE OWEN KUBERSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY6824
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6824
LICENSE NUMBER
CA
Enumeration date
02/28/2008
Last updated
04/13/2009
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