Individual
MRS. LESLIE ANN BACASTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 BRAD GRAHAM RD, COMER, GA 30629-6200
(706) 540-7348
Mailing address
28 BRAD GRAHAM RD, COMER, GA 30629-6200
(706) 540-7348
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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