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Individual
LESLIE JOHNSTON
Active
Individual
LESLIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
104100000X
Social Worker
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467787499
—
PA
Enumeration date
10/08/2009
Last updated
12/08/2022
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