Individual
LESLIE YAMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 W WILLOW ST, CARBONDALE, IL 62901-1138
(618) 549-4442
Mailing address
PO BOX 10, MAKANDA, IL 62958-0010
(618) 549-4442
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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