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1134702194
LEANN LESLIE MORA
MERIDIAN, ID
NPI
1134702194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID 33255)
Enumeration Date
2021-04-28
Last Update Date
2021-11-29
Business Address
LEANN LESLIE MORA LCSW
3525 E LOUISE DR
MERIDIAN, ID 83642-6302
Phone number: 208-706-7050
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Mailing Address
LEANN LESLIE MORA LCSW
3525 E LOUISE DR
MERIDIAN, ID 83642-6302
Phone number:
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