Individual
LESLIE C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 BUSINESS PARK DR, SUITE 100, VIRGINIA BEACH, VA 23462-6521
(757) 497-3670
(757) 499-1947
Mailing address
240 BUSINESS PARK DR, SUITE 100, VIRGINIA BEACH, VA 23462-6521
(757) 497-3670
(757) 499-1947
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904007115
VA
Other
Enumeration date
06/08/2009
Last updated
09/24/2014
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