Provider Demographics
NPI:1922692953
Name:MILTON, LESLIE P
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:P
Last Name:MILTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6765 TULIP FALLS DR UNIT 2043
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-5026
Mailing Address - Country:US
Mailing Address - Phone:702-722-8387
Mailing Address - Fax:
Practice Address - Street 1:6765 TULIP FALLS DR UNIT 2043
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-5026
Practice Address - Country:US
Practice Address - Phone:702-722-8387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-20
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker