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NPI Code Detail

MEDICARE: MRS. LESHIA ROGERS DEESE LCSW

MEDICARE:  MRS. LESHIA ROGERS DEESE  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC005175NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326076761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LESHIA ROGERS DEESE LCSW
Provider Business Mailing Address
First Line : 60 COMMERCE PLAZA CIR
Second Line :
City : PEMBROKE
State : NC
Zip : 28372-7386
Country : US
Telephone Number : 910-521-2900
Fax Number : 910-775-9165
Provider Business Practice Location Address
First Line : 610 E DR MARTIN LUTHER KING JR DR
Second Line :
City : MAXTON
State : NC
Zip : 28364-1800
Country : US
Telephone Number : 910-844-5253
Fax Number : 910-844-3290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 02/26/2024

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Directions to “ MRS. LESHIA ROGERS DEESE LCSW” Practice Location

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