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Individual

LESLIE MICHELLE MCANN MAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
917 STEPHENSON ST, SHREVEPORT, LA 71104-4219
(318) 272-5765
Mailing address
917 STEPHENSON ST, SHREVEPORT, LA 71104-4219
(318) 272-5765

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
324812
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
324812
OT LICENSE
LA
Enumeration date
10/23/2020
Last updated
02/02/2023
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Product
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  • EDI platform