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1205019262
LESLIE A THEARD
FAIRFIELD, CA
NPI
1205019262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS24108)
Enumeration Date
2007-12-13
Last Update Date
2023-06-27
Business Address
LESLIE A THEARD LCSW
1545 WEBSTER ST STE A
FAIRFIELD, CA 94533-4917
Phone number: 707-366-4277
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Mailing Address
LESLIE A THEARD LCSW
PO BOX 865
SUISUN CITY, CA 94585-0865
Phone number: 707-366-4277
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