Individual
JENNIFER ANN LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
1085 GRIFFIN GATE DR, LEXINGTON, KY 40511-1378
(859) 312-0212
Mailing address
1085 GRIFFIN GATE DR, LEXINGTON, KY 40511-1378
(859) 312-0212
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
04/12/2021
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