Most Relevant Information
Provider Data
| NPI Number: | 1003322181 |
| Provider Name: | LESLIE GRANT COLEGROVE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/27/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
274 SUTTON RD
CINCINNATI
OH
452303521
Practice Location Phone/Fax
| Phone: | 5132316377 |
| Fax: |
Provider Mailing Location
274 SUTTON RD
CINCINNATI
OH
452303521
Provider Mailing Phone/Fax
| Phone: | 5132316377 |
| Fax: |