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1689735995
LESLIE BALLAN
RICHMOND, CA
NPI
1689735995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC28896)
Enumeration Date
2006-12-12
Last Update Date
2013-09-19
Business Address
-- LESLIE BALLAN LMFT
6055 MONTEREY AVE
RICHMOND, CA 94805-1224
Phone number: 510-367-1229
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Mailing Address
-- LESLIE BALLAN LMFT
6055 MONTEREY AVE
RICHMOND, CA 94805-1224
Phone number: 510-367-1229
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