Individual
MS. MARIE D LEISTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8 ONEIL WAY, GROTON, MA 01450-4228
(978) 302-7819
(978) 448-8626
Mailing address
8 ONEIL WAY, GROTON, MA 01450-4228
(978) 302-7819
(978) 448-8626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3122
MA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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