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Individual
LESLIE CAROL LIEN
Active
Individual
LESLIE CAROL LIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
890
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24573
BLUE CROSS
ND
05
—
54839
—
ND
Enumeration date
09/28/2006
Last updated
08/21/2024
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