Individual
MRS. LESLIE JENSEN SHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
701 N ENGLEWOOD DR, CRAWFORDSVILLE, IN 47933-9744
(765) 361-9767
(765) 361-0374
Mailing address
609 PARKER OAKS WAY, BROWNSBURG, IN 46112-2146
(414) 899-6675
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34006180A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000708725
ANTHEM BCBS
IN
Enumeration date
07/05/2006
Last updated
05/13/2013
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