Individual
JENNIFER LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
12 ALFRED STREET, SUITE 200, WOBURN, MA 01801
(781) 646-0500
Mailing address
12 ALFRED STREET, SUITE 200, WOBURN, MA 01801
(781) 646-0500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10371
MA
Other
Enumeration date
08/30/2012
Last updated
06/16/2016
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