Individual
MRS. LESLIE RAE CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1225 CORPORATE DR STE B, HOLLAND, OH 43528-7701
(419) 866-0555
(419) 866-0556
Mailing address
1100 SHAWNEE RD, LIMA, OH 45805-3583
(419) 999-2010
(419) 999-6284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SL012011
PA
235Z00000X
Speech-Language Pathologist
Primary
SP.13152
OH
Other
Enumeration date
05/09/2013
Last updated
08/16/2023
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