Goodrich, Leslie A
Goodrich, Leslie A is an individual health care provider with primary practice located at 1601 Military Rd , Sioux City IA 51103-1715. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Goodrich, Leslie A can be contacted via phone (712) 252-4547.Contact Information
Primary practice address
1601 Military Rd
Sioux City IA 51103-1715
Phone: (712) 252-4547
Fax: (712) 252-3785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 01293 | Iowa |
Profile Details
| NPI number | 1710952353 |
|---|---|
| LBN Legal business name | Goodrich, Leslie A |
| Credentials | LISW CADC SOTP I |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710952353 | NPPES |
| Other | 13800 | WELLMARK |
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