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Individual
KIM L. LEONARD
Active
Individual
KIM L. LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, RPT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16359
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5393LC
BCBS
TX
Enumeration date
09/22/2006
Last updated
10/01/2007
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