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1093181257
LESLIE ANN JOHNSON
BOISE, ID
NPI
1093181257
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Former Name
LESLIE A CLARKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-3063)
Enumeration Date
2015-08-11
Last Update Date
2017-11-21
Business Address
LESLIE ANN JOHNSON M.S.
13176 W PERSIMMON LN STE 120
BOISE, ID 83713-5027
Phone number: 208-376-3591
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Mailing Address
LESLIE ANN JOHNSON M.S.
245 N 3RD E
MOUNTAIN HOME, ID 83647-2734
Phone number: 208-587-8255
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