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Individual

SCOTT JAY LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., L.P.C.

Contact information

Practice address
3781 MARIPOSA ST., #3, COLORADO SPRINGS, CO 80907-4675
(719) 264-9660
(225) 410-6769
Mailing address
3781 MARIPOSA ST., #3, COLORADO SPRINGS, CO 80907-4675
(719) 264-9660
(225) 410-6769

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
909
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
909
L.P.C.
CO
Enumeration date
07/14/2006
Last updated
07/08/2007
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