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Individual

DR. LESLIE BJORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., LP

Contact information

Practice address
25955 W 327TH ST, PAOLA, KS 66071-4920
(913) 557-9096
(913) 294-9247
Mailing address
PO BOX 677, OTTAWA, KS 66067-0677
(913) 557-9096
(913) 294-9247

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 1789
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200440120A
KS
Enumeration date
12/12/2006
Last updated
02/11/2013
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