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General NPI Number Information
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NPI Number | 1215333448
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Entity Type | Organization
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Legal Business Name | LESLIE LOWER, LCSW, LLC
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 308 UPTOWN SQ
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City | MURFREESBORO
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State | TN
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Zip | 37129-0574
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Country | US
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Telephone | 615-603-9057
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Fax | 615-625-2976
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Provider Business Mailing Address
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Address Line | PO BOX 69
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City | CHRISTIANA
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State | TN
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Zip | 37037-0069
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Country | US
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Telephone | 615-603-9057
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Fax | 615-625-2976
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | MRS. LESLIE S LOWER
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Credential | LCSW
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Telephone | 615-603-9057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6008
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License Number State | TN
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