Individual
LESLIE JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3781 PACIFIC DR, AUSTELL, GA 30106-1420
(770) 744-7357
Mailing address
3781 PACIFIC DR, AUSTELL, GA 30106-1420
(770) 744-7357
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW011024
GA
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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