Individual
MS. LESLIE GAYLE CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
127 N LAFAYETTE ST, SOUTH LYON, MI 48178-1210
(248) 231-0601
Mailing address
28246 OAKMONTE CIR E, NEW HUDSON, MI 48165-8039
(248) 231-0601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401004681
MI
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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