| Doctor Name: | MICHELLE LESLIE |
| NPI Number: | 1477765352 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 30962 |
| Business Practice Address: | 6220 Holly Crest Ln Sachse, TX - 750485561 |
| Business Phone Number: | 2146362991 |
| Business Fax Number: | 9724296145 |
| Mailing Address: | Po Box 1408, WYLIE |
| State: | TX |
| Postal Code: | 750981408 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 01/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 30962 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |