LESLIE AS DOUGLASS

KOKOMO, IN
NPI1710104559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  34005269A)
Enumeration Date2007-04-20
Last Update Date2018-12-17
Business Address
Ms. LESLIE AS DOUGLASS LCSW
322 N MAIN ST
KOKOMO, IN 46901-4622
Phone number: 765-453-8555
Mailing Address
Ms. LESLIE AS DOUGLASS LCSW
6626 E 75TH STREET SUITE 500
INDIANAPOLIS, IN 46250-2890
Phone number: 317-621-7561