Provider Demographics
NPI:1023175874
Name:STRAYHORN, LESLIE DEWEY (MSW)
Entity type:Individual
Prefix:MR
First Name:LESLIE
Middle Name:DEWEY
Last Name:STRAYHORN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 SIR RICHARD LN
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-5531
Mailing Address - Country:US
Mailing Address - Phone:919-370-9390
Mailing Address - Fax:
Practice Address - Street 1:80 EAST STREET
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312
Practice Address - Country:US
Practice Address - Phone:919-542-8271
Practice Address - Fax:919-542-8227
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker