Individual
LESLEY WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3753 S KY 837, LIBERTY, KY 42539-5397
(606) 787-6910
Mailing address
3753 S KY 837, LIBERTY, KY 42539-5397
(606) 787-6910
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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