Individual
JEANEASE LESLIE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25401-9990
(304) 263-0811
(304) 262-1292
Mailing address
1420 ECHO ST, APT A, MARTINSBURG, WV 25401-4395
(304) 263-0811
(304) 262-1292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW003103
GA
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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