| Leslie Rouder Lcsw Pa | |
|
21643 Cypress Rd Apt 14-f Boca Raton FL 33433-3219 | |
| (561) 706-1274 | |
| (561) 300-2519 |
| Full Name | Leslie Rouder Lcsw Pa |
|---|---|
| Speciality | Social Worker |
| Location | 21643 Cypress Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Leslie Rouder (DIRECTOR) |
| Authorized Official Contact | 5617061274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Rouder Lcsw Pa 21643 Cypress Rd Apt 14-f Boca Raton FL 33433-3219 Ph: (561) 706-1274 | Leslie Rouder Lcsw Pa 21643 Cypress Rd Apt 14-f Boca Raton FL 33433-3219 Ph: (561) 706-1274 |
| NPI Number | 1821330077 |
|---|---|
| Provider Enumeration Date | 03/25/2013 |
| Last Update Date | 03/25/2013 |
| Medicare PECOS PAC ID | 7113166612 |
|---|---|
| Medicare Enrollment ID | O20130613000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821330077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW5937 (Florida) | Primary |
| Provider Name | Leslie Rouder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770811325 PECOS PAC ID: 7012156524 Enrollment ID: I20130613000251 |
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