Individual
LESLIE BLUE BUNTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
79 E MAIN ST STE 302, LITITZ, PA 17543-1941
(717) 455-0797
Mailing address
23 KREADY AVE, MILLERSVILLE, PA 17551-2005
(717) 201-5656
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/18/2021
Last updated
10/21/2021
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