Individual
MS. LESLIE PAGE EUSTIS
Active
Individual
MS. LESLIE PAGE EUSTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
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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