Individual
MS. LESLEY ANN GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1724 W GRACE ST # 3W, CHICAGO, IL 60613-2712
(312) 925-3759
Mailing address
1724 W GRACE ST # 3W, CHICAGO, IL 60613-2712
(312) 925-3759
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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