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Individual

MRS. JESSICA WILEY LESLIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
625 E KALISTE SALOOM RD STE 400N, LAFAYETTE, LA 70508-2540
(337) 504-3802
(800) 398-9547
Mailing address
126 DARCY DR, ARCHER LODGE, NC 27527-7309
(337) 349-9662

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
103893
TX
1041C0700X
Clinical Social Worker
20261
AZ
1041C0700X
Clinical Social Worker
8570
LA
1041C0700X
Clinical Social Worker
Primary
C008048
NC
1041C0700X
Clinical Social Worker
LC17354
ME
1041C0700X
Clinical Social Worker
SW15676
FL

Other

Enumeration date
08/18/2008
Last updated
07/23/2024
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