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General NPI Number Information
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NPI Number | 1770005308
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Entity Type | Individual
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Provider Name | LESLIE K BRACKETT LICSW
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Gender | Female
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 18 MAPLE AVE # 291
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City | BARRINGTON
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State | RI
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Zip | 02806-3560
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Country | US
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Telephone | 401-222-0267
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Fax | 401-773-7106
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Provider Business Mailing Address
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Address Line | 18 MAPLE AVE # 291
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City | BARRINGTON
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State | RI
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Zip | 02806-3560
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Country | US
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Telephone | 401-222-0267
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Fax | 401-245-0277
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | ISW02324
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License Number State | RI
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