Individual
DR. LESLIE E GLAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., CCC-S
Contact information
Practice address
UNIVERSITY OF MINNESOTA, 164 PILLSBURY DRIVE SE, MINNEAPOLIS, MN 55455
(612) 624-3322
Mailing address
11705 - 27TH AVENUE NORTH, PLYMOUTH, MN 55441
(763) 557-1840
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5281
MN
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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