Individual
MRS. LESA SIMONE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., LCSW
Contact information
Practice address
710 WOODCREST DR, SPRINGFIELD, OR 97477-3645
(541) 579-4114
Mailing address
710 WOODCREST DR, SPRINGFIELD, OR 97477-3645
(541) 579-4114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5603
OR
Other
Enumeration date
01/07/2010
Last updated
11/25/2020
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