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Individual

DR. LESLIE WILSON MUNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
34 LENOX POINTE NE, ATLANTA, GA 30324-3169
(404) 401-7172
Mailing address
23 VILLAGE WALK DR, DECATUR, GA 30030-2685

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2342
GA
103TB0200X
Cognitive & Behavioral Psychologist
103TS0200X
School Psychologist

Other

Enumeration date
09/05/2014
Last updated
09/05/2014
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