Individual
LESLIE ALLYN BIRDWHISTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
181 W PROFESSIONAL PARK CT, SUITE 1, BOWLING GREEN, KY 42104
(270) 843-5300
(270) 843-5383
Mailing address
1321 MURFRESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 724-4706
(615) 577-5654
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
164384
KY
1041C0700X
Clinical Social Worker
3979
KY
Other
Enumeration date
01/07/2015
Last updated
09/04/2018
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