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Individual
MR. PAUL KELLETT VAN LEER
Active
Individual
MR. PAUL KELLETT VAN LEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGPC00397
DC
102L00000X
Psychoanalyst
06158139
—
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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