Individual
LESLIE TANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3911 AVENUE B STE G200, SCOTTSBLUFF, NE 69361-4617
(308) 630-1355
(308) 360-2299
Mailing address
3911 AVENUE B STE G200, SCOTTSBLUFF, NE 69361-4617
(308) 630-1355
(308) 360-2299
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
405
NE
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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