# LESLIE BRACKETT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265281513
- **Authorized official:** LESLIE KENNEDY BRACKETT LICSW (CLINICIAN/ADMINISTRATOR)
- **Authorized official phone:** (401) 222-0267

## Contact information

- **Practice address:** 18 MAPLE AVE \# 291, BARRINGTON, RI 02806-3560
- **Practice address phone:** (401) 222-0267
- **Mailing address:** \#291, 18 MAPLE AVENUE, BARRINGTON, RI 02806
- **Mailing address phone:** (401) 222-0267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2024
- **Last updated:** 05/17/2024