Individual
LESLEY LOUISE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
619 S 48TH AVE # A, YAKIMA, WA 98908-3614
(509) 966-4027
Mailing address
619 S 48TH AVE # A, YAKIMA, WA 98908-3614
(509) 966-4027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00007877
WA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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