LESLIE RYAN HANCOCK

MARION, IL
NPI1881471001
Former NameLESLIE RYAN BLACKLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146016389)
Enumeration Date2023-09-11
Last Update Date2023-09-11
Business Address
LESLIE RYAN HANCOCK
442 COMFORT DR
MARION, IL 62959-4927
Phone number: 618-364-0482
Mailing Address
LESLIE RYAN HANCOCK
1604 GRAND AVE
JOHNSTON CITY, IL 62951-1950
Phone number: 618-521-3728