Individual
LESLIE TALAVERA LINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW/LIP
Contact information
Practice address
7235 S BUFFALO DR, LAS VEGAS, NV 89113-4040
(702) 365-3046
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4875G
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4875G
ALABAMA SOCIAL WORK BOARD
AL
Enumeration date
11/21/2019
Last updated
08/02/2023
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