Individual
STEPHEN LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
MPSS-DETHYJ
CA
247200000X
Other Technician
Primary
MPSS-DETHYJ
CA
Other
Enumeration date
11/05/2019
Last updated
11/12/2025
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