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1346440732
LESLIE L INGALLS
SAN RAFAEL, CA
NPI
1346440732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 86753)
Enumeration Date
2007-07-23
Last Update Date
2019-01-09
Business Address
LESLIE L INGALLS ASW
830 B ST
SAN RAFAEL, CA 94901-3003
Phone number: 415-459-5843
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Mailing Address
LESLIE L INGALLS ASW
830 B ST
SAN RAFAEL, CA 94901-3003
Phone number: 415-459-5843
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