Individual
NORMA PAULINE LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 DEARBORN AVE, MISSOULA, MT 59801-8120
(435) 491-0289
Mailing address
PO BOX 3482, MISSOULA, MT 59806-3482
(435) 491-0289
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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