Individual
LESLIE FUGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 468-1298
(662) 680-6416
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 468-1298
(662) 680-6416
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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