Provider Demographics
NPI:1093137606
Name:CIARLEGLIO, LESLIE (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:
Last Name:CIARLEGLIO
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 SEYMOUR ST
Mailing Address - Street 2:JEFFERSON BUILDING, SUITE 625
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06102-8000
Mailing Address - Country:US
Mailing Address - Phone:860-545-2341
Mailing Address - Fax:860-545-3396
Practice Address - Street 1:80 SEYMOUR ST
Practice Address - Street 2:JEFFERSON BUILDING, SUITE 625
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06102-8000
Practice Address - Country:US
Practice Address - Phone:860-545-2341
Practice Address - Fax:860-545-3396
Is Sole Proprietor?:No
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS