Individual
LESLIE SOUTHALL FLUENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
239 EVANGELINE DR, DONALDSONVILLE, LA 70346-4374
(225) 572-8295
Mailing address
42151 STONE RIDGE AVE, PRAIRIEVILLE, LA 70769-6273
(225) 572-8295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
13397
LA
Other
Enumeration date
10/01/2015
Last updated
02/16/2023
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