Individual
LESLIE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
233 E MAIN ST STE 401, BOZEMAN, MT 59715-5045
(307) 751-0777
Mailing address
960 CARRIAGE LN, CASPER, WY 82609-2450
(307) 751-0777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
08/26/2022
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