Provider Demographics
NPI:1801145834
Name:LEBRON, LESLIEBETH (MSW)
Entity type:Individual
Prefix:MISS
First Name:LESLIEBETH
Middle Name:
Last Name:LEBRON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RES VILLA DEL REY # 13A
Mailing Address - Street 2:DD8 4TA SECC
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-7113
Mailing Address - Country:US
Mailing Address - Phone:787-758-4845
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA ELEONOR ROOSEVELT
Practice Address - Street 2:EDIFICIO122
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-0083
Practice Address - Country:US
Practice Address - Phone:787-758-4845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10199104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker