| Kathleen Leser Lcsw Llc | |
|
2801 Buford Hwy Ne Suite 505 Atlanta GA 30329-2149 | |
| (404) 402-8590 | |
| Not Available |
| Full Name | Kathleen Leser Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2801 Buford Hwy Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Kathleen Leser (MEMBER MANAGER) |
| Authorized Official Contact | 4044028590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Leser Lcsw Llc 2801 Buford Hwy Ne Suite 505 Atlanta GA 30329-2149 Ph: (404) 402-8590 | Kathleen Leser Lcsw Llc 2801 Buford Hwy Ne Suite 505 Atlanta GA 30329-2149 Ph: (404) 402-8590 |
| NPI Number | 1467759050 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 04/20/2011 |
| Medicare PECOS PAC ID | 4486838042 |
|---|---|
| Medicare Enrollment ID | O20110406000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467759050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003213 (Georgia) | Primary |
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