Individual
MRS. LESLIE ANNE MAYCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
10520 WAYZATA BOULEVARD, MINNETONKA, MN 55305
(952) 546-5630
Mailing address
10520 WAYZATA BOULEVARD, MINNETONKA, MN 55305
(952) 546-5630
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3965
MN
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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