Individual
MS. LESLIE A OFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1315 W. MAIN ST, WATERTOWN, WI 53094
(920) 261-4100
(920) 261-8801
Mailing address
PO BOX 364, FAMILY RESOURCES ASSOCIATES INC, WATERTOWN, WI 53094
(920) 261-4100
(920) 261-8801
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7112-123
WI
104100000X
Social Worker
7112123
WI
1041C0700X
Clinical Social Worker
7112-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43566500
—
WI
Enumeration date
12/27/2005
Last updated
06/08/2011
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