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Individual
MANDA S LEONARD
Active
Individual
MANDA S LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC003402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000001750065
—
PA
Enumeration date
07/27/2006
Last updated
07/08/2007
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