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1083252498
ELISSE NOELLE LEON
SAN CARLOS, CA
NPI
1083252498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-12-16
Last Update Date
2020-08-28
Business Address
ELISSE NOELLE LEON
1692 EL CAMINO REAL
SAN CARLOS, CA 94070-5208
Phone number: 650-817-9070
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Mailing Address
ELISSE NOELLE LEON
PO BOX 1329
SAN CARLOS, CA 94070-7329
Phone number: 650-817-9070
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