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General NPI Number Information
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NPI Number | 1912268160
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Entity Type | Individual
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Provider Name | LESLIE WITT SALMON LPC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 10210 W MARKHAM ST STE 322
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2134
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Country | US
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Telephone | 217-766-4103
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Fax |
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Provider Business Mailing Address
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Address Line | 117 POINT WEST CIR
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3372
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Country | US
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Telephone | 217-766-4103
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P2008058
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License Number State | AR
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