Individual
LESLIE BENSIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1203 MEDICAL PARK DR, OXFORD, MS 38655-5327
(662) 234-7601
(662) 234-8531
Mailing address
1203 MEDICAL PARK DR, OXFORD, MS 38655-5327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7849
MS
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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