Most Relevant Information
Provider Data
| NPI Number: | 1003670365 |
| Provider Name: | LESLIE RAMAGE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | L11548 |
Most Important Dates
| Enumeration Date: | 02/07/2024 |
| Last Updated: | 02/07/2024 |
Provider Practice Location
122 E MAIN ST STE 400-68
MEDFORD
OR
975016004
Practice Location Phone/Fax
| Phone: | 5035517713 |
| Fax: |
Provider Mailing Location
122 E MAIN ST STE 400-68
MEDFORD
OR
975016004
Provider Mailing Phone/Fax
| Phone: | 5035517713 |
| Fax: |