Individual
LESLEY MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 CLEVELAND AVE, SLIDELL, LA 70458-3920
(985) 643-5746
(985) 643-1769
Mailing address
241 HIGHLAND DR, MANDEVILLE, LA 70471-1918
(985) 502-1472
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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