Organization
LESLIE R PEGRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE PEGRAM LPC (PSYCHOTHERAPIST)
(912) 660-1312
Entity
Organization
Contact information
Practice address
37 W FAIRMONT AVE STE 201, SAVANNAH, GA 31406-3457
(912) 660-1312
Mailing address
37 W FAIRMONT AVE STE 201, SAVANNAH, GA 31406-3457
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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