LESLIE JEAN QUACKENBUSH

DULUTH, GA
NPI1093005795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW005307)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NC  P004774)
Enumeration Date2011-04-14
Last Update Date2022-01-10
Business Address
-- LESLIE JEAN QUACKENBUSH LCSW
3650 STEVE REYNOLDS BLVD GWINNETT COMPREHENSIVE MEDICAL CENTER
DULUTH, GA 30096-4506
Phone number: 919-764-2000
Mailing Address
-- LESLIE JEAN QUACKENBUSH LCSW
3495 PIEDMONT RD NE NINE PIEDMONT CENTER
ATLANTA, GA 30305-1717
Phone number: 404-504-5678