Individual
MRS. CYNTHIA K. LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW, MA,
Contact information
Practice address
3847 PINE GROVE AVE STE A, FORT GRATIOT, MI 48059-4265
(810) 966-3731
Mailing address
3148 WEXFORD CIR, PORT HURON, MI 48060-7792
(810) 966-3731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401006881
MI
104100000X
Social Worker
6802033987
MI
Other
Enumeration date
08/07/2006
Last updated
09/11/2025
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