LESLEY THOMAS ELLISON

PETAL, MS
NPI1912207937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S3294)
Enumeration Date2010-10-25
Last Update Date2010-10-25
Business Address
-- LESLEY THOMAS ELLISON
314 BRYANT ST
PETAL, MS 39465-3906
Phone number: 601-544-0391
Mailing Address
-- LESLEY THOMAS ELLISON
314 BRYANT ST
PETAL, MS 39465-3906
Phone number: 601-544-0391
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