Individual
LESLEE GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
317 S EDDY ST, SOUTH BEND, IN 46617-3201
(574) 304-1804
Mailing address
317 S EDDY ST, SOUTH BEND, IN 46617-3201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
12/30/2024
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