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Individual
LESLIE DANIELS
Active
Individual
LESLIE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222173526
—
AR
Enumeration date
09/05/2018
Last updated
07/31/2020
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