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Individual
JACQUELYN LEEDER
Active
Individual
JACQUELYN LEEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW103244
CA
104100000X
Social Worker
ASW103244
CA
1041C0700X
Clinical Social Worker
Primary
LCSW127214
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/22/2019
Last updated
11/25/2024
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