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Individual

DR. LESLIE MARKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD, LP, BCBA

Contact information

Practice address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042
(651) 254-8580
(651) 254-0601
Mailing address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042-5500
(651) 254-8580
(651) 254-0601

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-41487
103TC0700X
Clinical Psychologist
Primary
LP6121
MN

Other

Enumeration date
10/02/2013
Last updated
03/10/2020
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