Individual
MRS. LESLIE BOAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
10917 W DOVE ROOST RD, QUEEN CREEK, AZ 85142-9573
(480) 789-2099
Mailing address
10917 W DOVE ROOST RD, QUEEN CREEK, AZ 85142-9573
(480) 789-2099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17403
AZ
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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