| Leslie E Auld Inc. | |
|
4572 S Hagadorn Rd Suite 1c East Lansing MI 48823-5385 | |
| (517) 481-2133 | |
| (517) 676-3438 |
| Full Name | Leslie E Auld Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 4572 S Hagadorn Rd, East Lansing, Michigan |
| Authorized Official Name and Position | Leslie E Auld (OWNER) |
| Authorized Official Contact | 5174812133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie E Auld Inc. 4572 S Hagadorn Rd Suite 1c East Lansing MI 48823-5385 Ph: (517) 481-2133 | Leslie E Auld Inc. 4572 S Hagadorn Rd Suite 1c East Lansing MI 48823-5385 Ph: (517) 481-2133 |
| NPI Number | 1083924237 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 06/10/2014 |
| Medicare PECOS PAC ID | 3274720289 |
|---|---|
| Medicare Enrollment ID | O20101202001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083924237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Michigan) | Primary |
| Provider Name | Leslie E Auld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194928606 PECOS PAC ID: 5597813303 Enrollment ID: I20090508000073 |
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