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Individual

DEAN LEAV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11401 BLOOMFIELD, NORWALK, CA 90650
(714) 834-5015
Mailing address
11401 BLOOMFIELD, NORWALK, CA 90650
(714) 834-5015

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
UNLICENSED
CA
103TC0700X
Clinical Psychologist
Primary
PSY22423
CA

Other

Enumeration date
11/03/2006
Last updated
07/24/2013
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