| Leslie Brackett, Llc | |
|
18 Maple Ave # 291 Barrington RI 02806-3560 | |
| (401) 222-0267 | |
| Not Available |
| Full Name | Leslie Brackett, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 18 Maple Ave # 291, Barrington, Rhode Island |
| Authorized Official Name and Position | Leslie Kennedy Brackett (CLINICIAN/ADMINISTRATOR) |
| Authorized Official Contact | 4012220267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Brackett, Llc #291 18 Maple Avenue Barrington RI 02806 Ph: (401) 222-0267 | Leslie Brackett, Llc 18 Maple Ave # 291 Barrington RI 02806-3560 Ph: (401) 222-0267 |
| NPI Number | 1265281513 |
|---|---|
| Provider Enumeration Date | 05/17/2024 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265281513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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