| Doctor Name: | MS. LESLIE LEANNE COOPER REICHARD |
| NPI Number: | 1558576579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CSW003580 |
| Business Practice Address: | 2063 S Main St Blakely, GA - 398232267 |
| Business Phone Number: | 2297242206 |
| Business Fax Number: | 2297242219 |
| Mailing Address: | Po Box 1988, ALBANY |
| State: | GA |
| Postal Code: | 317021988 |
| Phone Number: | 2294304005 |
| Fax Number: | 2294304047 |
| NPI Enumeration Date: | 05/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW003580 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |