Individual
LESLIE ALEXANDRA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
2928 S LENOX ST, MILWAUKEE, WI 53207-2416
(575) 590-2033
Mailing address
2928 S LENOX ST, MILWAUKEE, WI 53207-2416
(575) 590-2033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
136197801
WI
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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