Individual
RICHARD THOMAS LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
104 S. OHIO, HUMANSVILLE, MO 65674
(417) 754-2223
(417) 754-8046
Mailing address
PO BOX 939, BOLIVAR, MO 65613-0939
(417) 328-6342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002386
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE AVAILABLE
NONE AVAILABLE
MO
Enumeration date
09/13/2006
Last updated
03/11/2009
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