| Doctor Name: | LESLIE B ANDERSON |
| NPI Number: | 1235238726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, ACSW, LCSW |
| License Number: | 3486 |
| Business Practice Address: | 4301 Wilson Street Reynolds Army Community Hospital Fort Sill, OK - 73503 |
| Business Phone Number: | 5804422836 |
| Business Fax Number: | |
| Mailing Address: | 1601 W Carolina Ave, CHICKASHA |
| State: | OK |
| Postal Code: | 730186902 |
| Phone Number: | 4052241882 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 04/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3486 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |