Individual
LESLIE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
813 VARSITY DR STE 5, TUPELO, MS 38801-4694
(662) 840-2005
(662) 840-2107
Mailing address
813 VARSITY DR STE 5, TUPELO, MS 38801-4694
(662) 840-2005
(662) 840-2107
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3201
MS
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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