| Doctor Name: | LESLIE MARIE SWAGER |
| NPI Number: | 1528138567 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 16853 |
| Business Practice Address: | 265 W. St.charles Street Suite #3 San Andreas, CA - 95249 |
| Business Phone Number: | 2097551450 |
| Business Fax Number: | 2097551470 |
| Mailing Address: | Po Box 779, STOCKTON |
| State: | CA |
| Postal Code: | 952010779 |
| Phone Number: | 2093732800 |
| Fax Number: | 2093732873 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 16853 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |