Individual
LESLIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
130 W BRUCE ST, STE 200, MILWAUKEE, WI 53204-1667
(414) 225-4222
Mailing address
130 W BRUCE ST, STE 200, MILWAUKEE, WI 53204-1667
(414) 225-4222
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2733
WI
Other
Enumeration date
08/18/2016
Last updated
11/30/2021
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