LESLIE ETHAN TALLEY

PICKENS, SC
NPI1912657016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-03-24
Last Update Date2022-03-24
Business Address
LESLIE ETHAN TALLEY
309 E MAIN ST
PICKENS, SC 29671-2319
Phone number: 864-898-5800
Mailing Address
LESLIE ETHAN TALLEY
309 E MAIN ST
PICKENS, SC 29671-2319
Phone number: 864-898-5800
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