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Individual

ALEXIS LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
102 ROCK ST, HUGHESTOWN, PA 18640-3616
(570) 569-2838
Mailing address
102 ROCK ST, HUGHESTOWN, PA 18640-3616

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
231741699
PA
Enumeration date
02/14/2023
Last updated
02/14/2023
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