Individual
MISS LESLIE JILL MITTELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
11630 PUERTO BLVD, BOYNTON BEACH, FL 33437-4029
(561) 699-8664
Mailing address
11630 PUERTO BLVD, BOYNTON BEACH, FL 33437-4029
(561) 699-8664
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
10/28/2009
Last updated
06/16/2016
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