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Individual
MS. LESLIE DIANNE WOODWORTH
Active
Individual
MS. LESLIE DIANNE WOODWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1022469
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008179
HARVARD PILGRIM HEALTH CA
MA
01
—
261466
MAGELLAN
MA
01
—
778485
TUFTS HEALTH PLAN
MA
01
—
7927372
AETNA
MA
01
—
P07413
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/01/2006
Last updated
07/08/2007
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