Individual
DR. LESLIE PARKES SHRALOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
893 N BUCKNELL ST, PHILADELPHIA, PA 19130-1934
(267) 886-9607
Mailing address
893 N BUCKNELL ST, PHILADELPHIA, PA 19130-1934
(267) 886-9607
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008412L
PA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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