Most Relevant Information
Provider Data
| NPI Number: | 1003399080 |
| Provider Name: | LESLIE ANNE FERN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/14/2018 |
| Last Updated: | 09/14/2018 |
Provider Practice Location
4334 SECOR RD
TOLEDO
OH
436234234
Practice Location Phone/Fax
| Phone: | 4193511337 |
| Fax: |
Provider Mailing Location
4334 SECOR RD
TOLEDO
OH
436234234
Provider Mailing Phone/Fax
| Phone: | 4193511337 |
| Fax: |