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1225561616
CARLA LEAKS
ROCHESTER, NY
NPI
1225561616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-04
Last Update Date
2017-04-04
Business Address
-- CARLA LEAKS CASAC CRC
55 TROUP ST
ROCHESTER, NY 14608-2053
Phone number: 585-546-3046
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Mailing Address
-- CARLA LEAKS CASAC CRC
55 TROUP ST
ROCHESTER, NY 14608-2053
Phone number:
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