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Individual
LESLIE CARRESE
Active
Individual
LESLIE CARRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30281
MD
1041C0700X
Clinical Social Worker
CW020954
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30281
MARYLAND DEPARTMENT OF HEALTH STATE BOARD OF SOCIAL WORK EXAMINERS
MD
01
—
CW020954
PENNSYLVANIA DEPARTMENT OF STATE
PA
Enumeration date
07/05/2017
Last updated
07/08/2024
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