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Individual

LESLIE MARKS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
7511 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4859
(502) 423-1151
(502) 423-1748
Mailing address
7511 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4859
(502) 423-1151
(502) 423-1748

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
144
KY

Other

Enumeration date
06/14/2006
Last updated
07/08/2007
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