Galvan, Leslie Elaine

Galvan, Leslie Elaine is an sole proprietor health care provider with primary practice located at 111 Marble Dr , Jacksonville AR 72076-4971. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Galvan, Leslie Elaine can be contacted via phone (501) 952-9466.

Contact Information

Primary practice address
111 Marble Dr Jacksonville AR 72076-4971
Phone: (501) 952-9466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 1977-M Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2425-C Arkansas

Profile Details

NPI number 1164614921
LBN Legal business name Galvan, Leslie Elaine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2007
Last updated Feb 2nd, 2024 - about 2 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 1164614921 NPPES
Arkansas MEDICAID 116399726

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