Individual
LESLIE RAE DANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
13774 PLANTATION RD STE 105, FORT MYERS, FL 33912-4461
(239) 309-1845
Mailing address
13774 PLANTATION RD STE 105, FORT MYERS, FL 33912-4461
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1592
FL
Other
Enumeration date
01/15/2015
Last updated
11/23/2021
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