Provider Demographics
NPI:1356923650
Name:MCWILLIAM-DUFFY, LESLIE PATRICIA (RN, FMHC, RYT 200)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:PATRICIA
Last Name:MCWILLIAM-DUFFY
Suffix:
Gender:F
Credentials:RN, FMHC, RYT 200
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Mailing Address - Street 1:4031 CORNWALLIS CAMP DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-5585
Mailing Address - Country:US
Mailing Address - Phone:704-516-5629
Mailing Address - Fax:
Practice Address - Street 1:4031 CORNWALLIS CAMP DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-5585
Practice Address - Country:US
Practice Address - Phone:704-516-5629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
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