Individual
LESLIE LUNNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6170
(229) 671-6761
Mailing address
1010 N COURT ST, QUITMAN, GA 31643-1002
(229) 300-1166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC002730
GA
Other
Enumeration date
04/30/2009
Last updated
10/03/2014
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