Individual
KIM LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
TRUMAN GROUP, LLC; 241 CLEVELAND AVE. S., ST. PAUL, MN 55105
(651) 371-5559
Mailing address
UNIT 6350 BOX 5025, DPO, AE 09847-5025
(360) 670-4349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY12676
CA
Other
Enumeration date
05/07/2022
Last updated
10/28/2022
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