Leslie Michelle Susong

NPI #1114543071 in Miamisburg, Ohio

Provider Information

NPI Number
1114543071
Entity Type
Individual
Name
Leslie Michelle Susong
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jun 17, 2020
Last Updated
Jun 17, 2020

Practice Location

Address
9260 MARKETPLACE DR
State
Ohio
ZIP Code
45342-4478
Phone
(937) 388-5110

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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