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Individual

LEAH JEAN BROSNAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3466 ALANI DR, HONOLULU, HI 96822-1409
(608) 234-0590
Mailing address
3466 ALANI DR, HONOLULU, HI 96822-1409
(608) 234-0590

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/04/2019
Last updated
10/04/2019
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