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Individual
LESLI D BASSFORD
Active
Individual
LESLI D BASSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87591T
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
08/02/2006
Last updated
05/22/2023
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