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Individual

MRS. LESLI ANN WHITNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCCSLP

Contact information

Practice address
1401 CHESTER BLVD, RICHMOND, IN 47374
(765) 983-3092
(765) 983-3237
Mailing address
401 SOUTH 23RD ST, RICHMOND, IN 47374
(765) 935-1369

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003929A
IN
235Z00000X
Speech-Language Pathologist
SP77931
OH

Other

Enumeration date
04/19/2006
Last updated
07/08/2007
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