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1730346792
LESLIE ELAINE ELLIS
LUTZ, FL
NPI
1730346792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY7721)
Enumeration Date
2008-05-19
Last Update Date
2008-05-19
Business Address
-- LESLIE ELAINE ELLIS PhD
207 CRYSTAL GROVE BLVD
LUTZ, FL 33548-6452
Phone number: 813-964-9101
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Mailing Address
-- LESLIE ELAINE ELLIS PhD
207 CRYSTAL GROVE BLVD
LUTZ, FL 33548-6452
Phone number: 813-964-9101
Copy
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