Leslie Wallace's National Provider Identifier (NPI) Details
Leslie Wallace, MSW, LCSW
NPI: 1790975530
Enumeration Date: 2007-07-27
Last updated: 2007-11-12
Sole Proprietor: YES
Status: active
Postal Address: 1514 JEFFERSON HWY, NEW ORLEANS, LA
Phone: 504-842-4000
Primary Practice Address: 1514 JEFFERSON HWY, NEW ORLEANS, LA
Practice's phone: 504-842-4000