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NPI Code Detail

MEDICARE: LESLIE HENDERSON PASQUINI MSW, LICSW, LSSW

MEDICARE: LESLIE HENDERSON PASQUINI MSW, LICSW, LSSW
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 Worker

General Provider Information

NPI Number : 1134336134
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE HENDERSON PASQUINI MSW, LICSW, LSSW
Provider Business Mailing Address
First Line : 91 ROYAL RANGE RD
Second Line :
City : SANDOWN
State : NH
Zip : 03873-2130
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 323 GONIC RD STE 2A
Second Line :
City : ROCHESTER
State : NH
Zip : 03839-5689
Country : US
Telephone Number : 603-332-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 03/07/2024

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