| Leslie Leet Llc | |
|
8211 W Ustick Rd Boise ID 83704-5756 | |
| (888) 948-6789 | |
| (877) 345-3501 |
| Full Name | Leslie Leet Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8211 W Ustick Rd, Boise, Idaho |
| Authorized Official Name and Position | Leslie D Leet (OWNER) |
| Authorized Official Contact | 2082837181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Leet Llc 1 Kalisa Way Ste 101 Paramus NJ 07652-3508 Ph: (888) 948-6789 | Leslie Leet Llc 8211 W Ustick Rd Boise ID 83704-5756 Ph: (888) 948-6789 |
| NPI Number | 1245704931 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Medicare PECOS PAC ID | 5496093049 |
|---|---|
| Medicare Enrollment ID | O20190206003109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245704931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Leslie Leet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699021246 PECOS PAC ID: 0143528497 Enrollment ID: I20160420000094 |
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