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Organization
LESLIE MCMULLEN
Active
Organization
LESLIE MCMULLEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE MCMULLEN MS (SPEECH LANGUAGE PATHOLOGIST)
(321) 287-0662
Entity
Organization
Contact information
Practice address
2701 N ROCKY POINT DR, TAMPA, FL 33607
(321) 287-0662
Mailing address
549 WOODLAND TERRACE BLVD, ORLANDO, FL 32828-6765
(321) 287-0662
(321) 287-0662
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA13731
FL
Other
Enumeration date
08/17/2015
Last updated
11/02/2015
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