Individual
MRS. LESLEY MARIE MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
716 BREWSTER LN, WILMINGTON, NC 28412-2638
(910) 785-7877
Mailing address
716 BREWSTER LN, WILMINGTON, NC 28412-2638
(910) 785-7877
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/10/2008
Last updated
06/23/2015
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