Individual
MS. LESLIE PAGE EUSTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
433 METAIRIE RD STE 402, METAIRIE, LA 70005-4343
(504) 615-1064
(504) 267-7561
Mailing address
5646 EVELYN CT APT SUITE, NEW ORLEANS, LA 70124-1045
(504) 615-1064
(914) 235-6287
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12133
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14106346
CAQH
LA
01
—
2381925
COMP PSYCH
LA
Enumeration date
08/02/2010
Last updated
09/18/2018
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