Individual
MRS. DELISHA WOODSON LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 KANUHA DR, FORT WALTON BEACH, FL 32547-5017
(850) 543-2421
Mailing address
520 KANUHA DR, FORT WALTON BEACH, FL 32547-5017
(850) 543-2421
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811776400
—
FL
Enumeration date
11/13/2006
Last updated
01/14/2020
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