Individual
LESLIE LEE BURSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
277 WATERMAN STREET, PROVIDENCE, RI 02906
(401) 331-7777
(401) 354-4445
Mailing address
103 OCEANWOODS DRIVE, N KINGSTOWN, RI 02852
(401) 295-5460
(401) 667-2810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01517
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270951
BLUE CROSS BLUE SHIELD
RI
01
—
411410
BLUE CHIP
RI
Enumeration date
07/03/2006
Last updated
07/08/2007
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