Individual
LESLIE ANN LLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 W BOYLSTON ST, WEST BOYLSTON, MA 01583-1784
(508) 371-8373
Mailing address
403 BURNCOAT ST, WORCESTER, MA 01606-1510
(508) 371-8373
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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