Individual
LESLEY RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ATR-BC LCAT
Contact information
Practice address
625 PANORAMA TRL, BUILDING 1 SUITE 230, ROCHESTER, NY 14625-2404
(585) 415-6547
Mailing address
625 PANORAMA TRL, BUILDING 1 SUITE 230, ROCHESTER, NY 14625-2404
(585) 415-6547
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001151-1
NY
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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