Individual
MARISSA NICOLE LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21421 HIGHLAND LAKES BLVD, NORTH MIAMI BEACH, FL 33179-1660
(305) 450-6686
Mailing address
21421 HIGHLAND LAKES BLVD, NORTH MIAMI BEACH, FL 33179-1660
(305) 450-6686
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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