Individual
LESLIE DIANNA CARREON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1999 N AMIDON AVE STE 110, WICHITA, KS 67203-2122
(316) 768-6718
(316) 252-1255
Mailing address
3650 N WOODLAWN BLVD APT 237, WICHITA, KS 67220-2209
(619) 600-9532
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
235Z00000X
Speech-Language Pathologist
Primary
5002
KS
Other
Enumeration date
01/19/2018
Last updated
03/05/2022
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