Organization
LESLIE M CONROY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE M CONROY MD (OWNER)
(802) 865-3450
Entity
Organization
Contact information
Practice address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
Mailing address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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