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Individual

SOPHIE LESLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN

Contact information

Practice address
1430 SHERMAN ST SE, GRAND RAPIDS, MI 49506-2730
(512) 693-7045
(512) 399-9039
Mailing address
1430 SHERMAN ST SE, GRAND RAPIDS, MI 49506-2730
(512) 693-7045
(512) 339-9039

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
02/09/2026
Last updated
02/09/2026
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