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1194101071
CORRINA LEAVITT
GREENBRAE, CA
NPI
1194101071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-08-03
Last Update Date
2017-04-20
Business Address
-- CORRINA LEAVITT
250 BON AIR RD UNIT B
GREENBRAE, CA 94904-1702
Phone number: 415-473-2523
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Mailing Address
-- CORRINA LEAVITT
250 BON AIR RD UNIT B
GREENBRAE, CA 94904-1702
Phone number: 415-473-2523
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