Individual
LESLIE FAY DEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1000 OAKLAND DR FL 3, KALAMAZOO, MI 49008-1282
(269) 387-8230
Mailing address
6271 ENOLA AVE, KALAMAZOO, MI 49048-8110
(269) 806-0898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009460
MI
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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