Individual
MISS JESIKA SUE LELECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1518 W 2ND ST APT 3, CRESSON, PA 16630-1022
(814) 421-0895
Mailing address
1518 W 2ND ST APT 3, CRESSON, PA 16630-1022
(814) 421-0895
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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