Individual
LESLIANN DAVILA-SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
859 S 4TH AVE, BRIGHTON, CO 80601-3205
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5739
CO
Other
Enumeration date
02/02/2022
Last updated
02/22/2022
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