Provider Demographics
NPI:1174656474
Name:ERDMANN, LESLY ELIZABETH (MSW)
Entity type:Individual
Prefix:MS
First Name:LESLY
Middle Name:ELIZABETH
Last Name:ERDMANN
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 1:311 HAYDEN RD
Mailing Address - Street 2:C
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32304-4291
Mailing Address - Country:US
Mailing Address - Phone:850-921-0330
Mailing Address - Fax:850-921-0283
Practice Address - Street 1:1801 MICCOSUKEE COMMONS DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5433
Practice Address - Country:US
Practice Address - Phone:850-921-0330
Practice Address - Fax:850-921-0283
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker