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1457479974
LEONARD STEPHAN MANZELLA
SAN LUIS OBISPO, CA
NPI
1457479974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS15898)
Enumeration Date
2007-03-26
Last Update Date
2012-12-06
Business Address
Mr. LEONARD STEPHAN MANZELLA LCSW
11573 LOS OSOS VALLEY RD STE D
SAN LUIS OBISPO, CA 93405-6461
Phone number: 805-541-1434
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Mailing Address
Mr. LEONARD STEPHAN MANZELLA LCSW
11573 LOS OSOS VALLEY RD STE D
SAN LUIS OBISPO, CA 93405-6461
Phone number: 805-541-1434
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