Provider Information for 1336231042
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LESLIE A NETLAND PSYD
Sex: Male
NPI: 1336231042
Last Updated: 2008-01-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1336231042 | ||||||||
| Enumeration Date | 2006-09-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1686 FLICKINGER HILL RD WOOSTER, OH 44691-9022 United States Phone: 330-262-1237 | Fax: | ||||||||
| Primary Practice Address | 210 E MILLTOWN RD SUITE B WOOSTER, OH 44691-1246 United States Phone: 330-345-3418 | Fax:330-345-3420 | ||||||||
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