Organization
EVOLUTION FROM WITHIN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY ANN BUCK LCSW (OWNER)
(347) 623-4483
Entity
Organization
Contact information
Practice address
5758 N MESA ST, EL PASO, TX 79912-5427
(347) 623-4483
Mailing address
5758 N MESA ST, EL PASO, TX 79912-5427
(347) 623-4483
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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