Individual
LESLIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 JEFFERSON ST, TORONTO, OH 43964-1235
(740) 219-3133
Mailing address
501 COLLIERS WAY, WEIRTON, WV 26062-5003
(304) 723-5440
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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