| Constance Leslie Licsw Inc | |
|
16 Armory St Northampton MA 01060-3536 | |
| (413) 582-6922 | |
| Not Available |
| Full Name | Constance Leslie Licsw Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 16 Armory St, Northampton, Massachusetts |
| Authorized Official Name and Position | Constance Leslie (PRESIDENT) |
| Authorized Official Contact | 4135826922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Constance Leslie Licsw Inc 16 Armory St Northampton MA 01060-3536 Ph: (413) 582-6922 | Constance Leslie Licsw Inc 16 Armory St Northampton MA 01060-3536 Ph: (413) 582-6922 |
| NPI Number | 1811305584 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 07/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811305584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1018753 (Massachusetts) | Primary |
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