Individual
MS. LESLIE A SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
3616 S I 10 SERVICE RD W STE 200, METAIRIE, LA 70001-1874
(504) 838-5215
Mailing address
3616 S I 10 SERVICE RD W STE 200, METAIRIE, LA 70001-1874
(504) 838-5215
(504) 838-5714
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2779
LA
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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