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Individual
PAIGE LEYSATH
Active
Individual
PAIGE LEYSATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
100689
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/29/2018
Last updated
09/04/2018
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