Provider Information for 1093401002
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EUNIQUE D LEGUIE LCSW
Sex: Female
NPI: 1093401002
Last Updated: 2023-04-12
Certification Date: 2023-04-12
Certification Date: 2023-04-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1093401002 | ||||||||
| Enumeration Date | 2023-04-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5050 LAGUNA BLVD # 112-729 ELK GROVE, CA 95758-4193 United States Phone: 916-704-7896 | Fax: | ||||||||
| Primary Practice Address | 6259 JACINTO AVE APT 218 SACRAMENTO, CA 95823-7684 United States Phone: 916-704-7896 | Fax: | ||||||||
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