LESLIE ELAINE ELLIS

LUTZ, FL
NPI1730346792
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: FL  PY7721)
Enumeration Date2008-05-19
Last Update Date2008-05-19
Business Address
-- LESLIE ELAINE ELLIS PhD
207 CRYSTAL GROVE BLVD
LUTZ, FL 33548-6452
Phone number: 813-964-9101
Mailing Address
-- LESLIE ELAINE ELLIS PhD
207 CRYSTAL GROVE BLVD
LUTZ, FL 33548-6452
Phone number: 813-964-9101
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