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NPI Code Detail

MEDICARE: MS. LESLIE EKINGS LICSW

MEDICARE: MS. LESLIE EKINGS 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 Worker107295MA

General Provider Information

NPI Number : 1558339929
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LESLIE EKINGS LICSW
Provider Business Mailing Address
First Line : 257 AYER RD
Second Line : TURNPIKE STATION
City : HARVARD
State : MA
Zip : 01451-1108
Country : US
Telephone Number : 978-772-4457
Fax Number : 978-772-7107
Provider Business Practice Location Address
First Line : 257 AYER RD
Second Line :
City : HARVARD
State : MA
Zip : 01451-1108
Country : US
Telephone Number : 978-772-4457
Fax Number : 978-772-7107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 12/14/2011

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Directions to “ MS. LESLIE EKINGS LICSW” Practice Location

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