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Organization

LESLIE BRACKETT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE KENNEDY BRACKETT LICSW (CLINICIAN/ADMINISTRATOR)
(401) 222-0267
Entity
Organization

Contact information

Practice address
18 MAPLE AVE # 291, BARRINGTON, RI 02806-3560
(401) 222-0267
Mailing address
#291, 18 MAPLE AVENUE, BARRINGTON, RI 02806
(401) 222-0267

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
05/17/2024
Last updated
05/17/2024
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