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NPI Code Detail

MEDICARE: LESLI DESAI LICSW

MEDICARE: LESLI DESAI LICSW
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 WorkerLW60568388WA

General Provider Information

NPI Number : 1033592621
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLI DESAI LICSW
Provider Business Mailing Address
First Line : 3500 SW ALASKA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2731
Country : US
Telephone Number : 206-486-6167
Fax Number : 206-501-4388
Provider Business Practice Location Address
First Line : 3500 SW ALASKA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2731
Country : US
Telephone Number : 206-486-6167
Fax Number : 206-501-4388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2015
Last Update Date : 11/13/2018

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Directions to “ LESLI DESAI LICSW” Practice Location

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