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Leslie Clark, LMSW
NPI 1801156997 · on the registry since 2012
Practice
- Address
- 4830 Lakewood Dr Ste 2
Waco, TX 76710 - Phone
- (254) 399-9099
- Fax
- (254) 388-8397
- Organisation at this address
- Urs Sub I, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas