Individual
LESLIE FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
2233 YALE AVE, MAPLEWOOD, MO 63143-1420
(636) 485-8240
Mailing address
2233 YALE AVE, MAPLEWOOD, MO 63143-1420
(636) 485-8240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006019873
MO
Other
Enumeration date
03/08/2007
Last updated
07/16/2013
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