LESLIE BURNSIDE

EDMOND, OK
NPI1407490048
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-11-06
Last Update Date2019-11-06
Business Address
LESLIE BURNSIDE MEd
600 N BLACKWELDER AVE APT 24
EDMOND, OK 73034-5167
Phone number: 870-414-9993
Mailing Address
LESLIE BURNSIDE MEd
2433 NW 194TH TER
EDMOND, OK 73012-3532
Phone number: 870-415-9993
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