LESLIE DIANE PROVIS

PENSACOLA, FL
NPI1760209712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2024-09-23
Last Update Date2024-09-23
Business Address
LESLIE DIANE PROVIS MSW
8333 N DAVIS HWY
PENSACOLA, FL 32514-6050
Phone number: 850-474-8756
Mailing Address
LESLIE DIANE PROVIS MSW
3403 GREEN BRIAR CT APT B
GULF BREEZE, FL 32563-2839
Phone number: 850-292-7909