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Individual

MRS. JAMIE LYNN LESLIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
701 ANTLER DR STE 111, CASPER, WY 82601-1747
(307) 439-5665
Mailing address
701 ANTLER DR STE 111, CASPER, WY 82601-1747
(307) 439-5665
(307) 439-5698

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPC-599
WY
101YP2500X
Professional Counselor
Primary
1373
WY

Other

Enumeration date
08/10/2011
Last updated
08/20/2024
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