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1710104559
LESLIE AS DOUGLASS
KOKOMO, IN
NPI
1710104559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 34005269A)
Enumeration Date
2007-04-20
Last Update Date
2018-12-17
Business Address
Ms. LESLIE AS DOUGLASS LCSW
322 N MAIN ST
KOKOMO, IN 46901-4622
Phone number: 765-453-8555
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Mailing Address
Ms. LESLIE AS DOUGLASS LCSW
6626 E 75TH STREET SUITE 500
INDIANAPOLIS, IN 46250-2890
Phone number: 317-621-7561
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