Foster, Leslie

Foster, Leslie is an individual health care provider with primary practice located at 109 N Fairland St , Pryor OK 74361-4203. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Foster, Leslie can be contacted via phone (918) 825-1405.

Contact Information

Primary practice address
109 N Fairland St Pryor OK 74361-4203
Fax: (918) 876-3436
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5403 Oklahoma

Profile Details

NPI number 1972828978
LBN Legal business name Foster, Leslie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2010
Last updated Oct 23rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972828978 NPPES
Oklahoma MEDICAID 1041C0700X

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