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Individual

DR. SHAWN M. LESLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
3701 12TH ST N STE 206, SAINT CLOUD, MN 56303-2253
(320) 229-4918
Mailing address
3701 12TH ST N STE 206, SAINT CLOUD, MN 56303-2253
(320) 229-4918

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
11/13/2023
Last updated
11/13/2023
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