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1124360250
LISA ANN LEAKE
CHESTER, PA
NPI
1124360250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-03-27
Last Update Date
2013-03-28
Business Address
Mrs. LISA ANN LEAKE BA
2600 W 9TH ST
CHESTER, PA 19013-2040
Phone number: 610-497-7486
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Mailing Address
Mrs. LISA ANN LEAKE BA
815 SUMMIT AVE
PROSPECT PARK, PA 19076-1532
Phone number: 610-583-5968
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