Individual
MR. LESLIE RAY TOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
HC 73 BOX 34B, MOUNTAIN GROVE, MO 65711-8708
(417) 349-2111
Mailing address
HC 73 BOX 34B, MOUNTAIN GROVE, MO 65711-8708
(417) 349-2111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2009010031
MO
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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