Individual
MRS. LESLI ANNETTE-ELKINS BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LPE-I
Contact information
Practice address
2808 FOX MEADOW LANE, JONESBORO, AR 72404-9346
(870) 932-4245
(870) 931-4457
Mailing address
2808 FOX MEADOW LANE, JONESBORO, AR 72404-9346
(870) 932-4245
(870) 931-4457
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11-11EI
AR
1041C0700X
Clinical Social Worker
2290-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174447795
—
AR
05
—
272861719
—
AR
01
—
5R093
BCBS
—
Enumeration date
01/29/2007
Last updated
11/18/2022
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