Individual
LESLIE DONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 KENTUCKY AVE, PADUCAH, KY 42003-3242
(270) 777-4490
(866) 441-1083
Mailing address
2204 KENTUCKY AVE, PADUCAH, KY 42003-3242
(270) 777-4490
(866) 824-4022
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
115924
KY
Other
Enumeration date
06/16/2019
Last updated
08/28/2023
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