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1154008720
AMANDA LESLIE
MILWAUKEE, WI
NPI
1154008720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WI 7478-226)
Enumeration Date
2023-07-05
Last Update Date
2023-07-05
Business Address
AMANDA LESLIE MS, LPC-IT
10012 W CAPITOL DR
MILWAUKEE, WI 53222-1338
Phone number: 414-810-4844
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Mailing Address
AMANDA LESLIE MS, LPC-IT
1514 S 87TH ST
WEST ALLIS, WI 53214-4301
Phone number:
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