Quackenbush, Leslie Jean

Quackenbush, Leslie Jean is an individual health care provider with primary practice located at 3650 Steve Reynolds Blvd Gwinnett Comprehensive Medical Center, Duluth GA 30096-4506. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Quackenbush, Leslie Jean can be contacted via phone (919) 764-2000.

Contact Information

Primary practice address
3650 Steve Reynolds Blvd Gwinnett Comprehensive Medical Center Duluth GA 30096-4506
Phone: (919) 764-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P004774 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005307 Georgia

Profile Details

NPI number 1093005795
LBN Legal business name Quackenbush, Leslie Jean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2011
Last updated Jan 10th, 2022 - about 2 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.

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