Individual
DIANE GIBBONS LESKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH
Contact information
Practice address
4284 COATTAIL CT, ELLICOTT CITY, MD 21042-5922
(443) 956-5120
Mailing address
4284 COATTAIL CT, ELLICOTT CITY, MD 21042-5922
(443) 956-5120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03795
MD
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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