Individual
MRS. ALISON LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1812 E BETHEL LN, BLOOMINGTON, IN 47408-9573
(812) 929-2080
Mailing address
1812 E BETHEL LN, BLOOMINGTON, IN 47408-9573
(812) 929-2080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006271A
IN
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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