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NPI Code Detail

MEDICARE: SYDNEY ANN ROSE LESLIE

MEDICARE: SYDNEY ANN ROSE LESLIE
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
1106S00000XBehavior TechnicianMI
21041C0700XClinical Social WorkerMI
3171M00000XCase Manager/Care CoordinatorMI

General Provider Information

NPI Number : 1972286623
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY ANN ROSE LESLIE
Provider Business Mailing Address
First Line : 2399 E WALTON BLVD
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-1955
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2399 E WALTON BLVD
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-1955
Country : US
Telephone Number : 248-475-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2023
Last Update Date : 01/15/2026

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Directions to “ SYDNEY ANN ROSE LESLIE ” Practice Location

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