Individual
LESLIE MARIE WILLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
10634 LAKEMERE DR, DALLAS, TX 75238-2811
(214) 403-9873
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1128437
TX
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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