| Pamela Leslie Msw Lisw-s | |
|
2012 Ashley Oaks Cir Sebring FL 33870-6269 | |
| (863) 664-2074 | |
| Not Available |
| Full Name | Pamela Leslie Msw Lisw-s |
|---|---|
| Speciality | Social Worker |
| Location | 2012 Ashley Oaks Cir, Sebring, Florida |
| Authorized Official Name and Position | Pamela D Leslie (OWNER/PROVIDER) |
| Authorized Official Contact | 8636642074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Leslie Msw Lisw-s 2012 Ashley Oaks Cir Sebring FL 33870-6269 Ph: (863) 664-2074 | Pamela Leslie Msw Lisw-s 2012 Ashley Oaks Cir Sebring FL 33870-6269 Ph: (863) 664-2074 |
| NPI Number | 1962228163 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Medicare PECOS PAC ID | 6406382530 |
|---|---|
| Medicare Enrollment ID | O20241211004872 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962228163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Pamela Dolores Leslie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346624905 PECOS PAC ID: 7214463348 Enrollment ID: I20241211004878 |
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