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Individual
LESLIE ANN MINOR-WANNA
Active
Individual
LESLIE ANN MINOR-WANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.006152
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635816
BCBS PROVIDER NUMBER
IL
Enumeration date
01/06/2007
Last updated
08/22/2016
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