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1558952119
LESLIE GILLIAM
LOS ANGELES, CA
NPI
1558952119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 123321)
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
LESLIE GILLIAM LMFT
12316 VENICE BLVD
LOS ANGELES, CA 90066-3802
Phone number: 310-402-2229
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Mailing Address
LESLIE GILLIAM LMFT
3475 BARRY AVE
LOS ANGELES, CA 90066-2001
Phone number: 310-701-0997
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