Individual
MRS. LESLEY LYNN FORNERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
815 S CLAIRBORNE RD STE 200, OLATHE, KS 66062-1700
(913) 393-4283
Mailing address
16206 W 143RD TER, OLATHE, KS 66062-2568
(913) 484-9263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021
KS
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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