Individual
LESLIE BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4084 OKEMOS RD, OKEMOS, MI 48864-3258
(517) 347-4848
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011010
MI
Other
Enumeration date
01/16/2015
Last updated
02/05/2015
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