Individual
MRS. LESLIE D FILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149005930
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.010039
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041213459
STATE RN LICENSE
IL
01
—
149005930
STATE LCSW LICENSE
IL
Enumeration date
12/02/2005
Last updated
10/05/2018
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