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Individual

SONDRA LESLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
6815 W CACTUS RD, PEORIA, AZ 85381-5313
(623) 777-9366
Mailing address
3818 W PURDUE AVE, PHOENIX, AZ 85051-3374

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-20334
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LMSW-20334
ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
08/23/2022
Last updated
08/23/2022
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