LESLIE DIANE PROVIS

PENSACOLA, FL
NPI1760209712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW26096)
Enumeration Date2024-09-23
Last Update Date2026-02-26
Business Address
LESLIE DIANE PROVIS LCSW
8333 N DAVIS HWY
PENSACOLA, FL 32514-6050
Phone number: 850-474-8756
Mailing Address
LESLIE DIANE PROVIS LCSW
3403 GREEN BRIAR CT APT B
GULF BREEZE, FL 32563-2839
Phone number: 850-292-7909
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