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1164880852
LESLIE A WILFONG
BLOOMINGTON, IN
NPI
1164880852
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Other Name
LESLIE A WILFONG-EMMONS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34002347A)
Enumeration Date
2016-02-09
Last Update Date
2016-02-09
Business Address
-- LESLIE A WILFONG MSW, LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
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Mailing Address
-- LESLIE A WILFONG MSW, LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
Copy
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