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Individual

MRS. ANNA CHRISTINE LEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
1125 MISSOURI ST STE 304A, FAIRFIELD, CA 94533-6064
(925) 672-9440
Mailing address
2752 HILLVIEW DR, FAIRFIELD, CA 94534-1078
(310) 728-9298

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18515
CA

Other

Enumeration date
03/02/2012
Last updated
03/02/2012
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