Leslie B Gough
Leslie B Gough is a Case Manager/Care Coordinator in Chester, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
256 Alba AveChester, WV 26034-1559
Phone: (304) 479-5144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1043812969 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 16, 2020 |
| Last updated in NPPES | November 16, 2020 |
| Certification date | November 16, 2020 |
| Mailing address | Po Box 434, Chester, WV 26034-0434 |
Other providers in Chester
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Rebecca A Miller, QMHS
57 Prospect Ln, Chester, WV 26034-1919 · (304) 559-6880