Individual
LESLIE HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 W ALTA VISTA RD APT 1042, PHOENIX, AZ 85041-5648
(602) 800-1407
Mailing address
915 W ALTA VISTA RD APT 1042, PHOENIX, AZ 85041-5648
(602) 800-1407
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
9363187
AZ
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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