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1447301866
CONSTANCE FORTIN LESLIE
SAN DIEGO, CA
NPI
1447301866
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Former Name
CONSTANCE RHEA FORTIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 19206)
Enumeration Date
2007-01-13
Last Update Date
2007-07-08
Business Address
-- CONSTANCE FORTIN LESLIE
4311 3RD AVE
SAN DIEGO, CA 92103-1407
Phone number: 619-688-1600
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Mailing Address
-- CONSTANCE FORTIN LESLIE
3241 CIRCA DE TIERRA
ENCINITAS, CA 92024-6908
Phone number: 858-759-7048
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