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Individual

LEANNE LOUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
129 E CENTER STREET, #3, MANTECA, CA 95336
(209) 239-5553
(209) 239-5978
Mailing address
1735 W WILLOW ST, STOCKTON, CA 95203-1541
(209) 637-6262

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
08/18/2014
Last updated
05/30/2025
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