Individual
NICOLE LESKERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-2171
(952) 228-7304
Mailing address
232 POTTERS RD, MAKANDA, IL 62958-2630
(952) 228-7304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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