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Individual
LESLIE CARROLL OUSLEY
Active
Individual
LESLIE CARROLL OUSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5428-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100037704
—
WI
05
—
47-1086793
—
WI
Enumeration date
06/20/2013
Last updated
04/22/2022
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