Individual
LESLIE DAWN LONGSTRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
(706) 596-5539
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
(706) 596-5539
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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