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1659506301
KIMBERLY JEANNE LEICESTER
SAN RAFAEL, CA
NPI
1659506301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA psy22058)
Enumeration Date
2009-05-26
Last Update Date
2009-05-26
Business Address
Mrs. KIMBERLY JEANNE LEICESTER PhD
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903-3410
Phone number: 415-444-3522
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Mailing Address
Mrs. KIMBERLY JEANNE LEICESTER PhD
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903-3410
Phone number: 415-444-3522
Copy
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