Individual
EDWARD LESOFSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
INTERN PSYCHOLOGIST
Contact information
Practice address
400 EXPRESSWAY STE D, MISSOULA, MT 59808-1536
(406) 465-9504
Mailing address
PO BOX 16915, MISSOULA, MT 59808-6915
(406) 465-9504
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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