Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 2010040290 | MO |
NPI | 1003195462 |
---|---|
Provider Name | Ms. Leslie A Sawyer |
First Address | Brighton, MO 65617-0617 |
Second Address | Brighton, MO 65617-7256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2011 |
Last Update Date | 16/08/2011 |