Provider Demographics
NPI:1518183144
Name:QUARTANO, LESLIE WEBSTER (MSW, LC SW)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:WEBSTER
Last Name:QUARTANO
Suffix:
Gender:F
Credentials:MSW, LC SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 LAURA DR S
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-3415
Mailing Address - Country:US
Mailing Address - Phone:985-869-6401
Mailing Address - Fax:
Practice Address - Street 1:2000 N CAUSEWAY BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-3154
Practice Address - Country:US
Practice Address - Phone:985-869-6401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4603104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker