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Individual
LESLIE MCGOVERN
Active
Individual
LESLIE MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
18626
MD
Other
Enumeration date
03/31/2019
Last updated
06/11/2019
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