Individual
LESLIE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
4035 UNIVERSITY PKWY, SUITE 101, WINSTON SALEM, NC 27106-3276
(336) 397-1560
(336) 397-1566
Mailing address
4035 UNIVERSITY PKWY, SUITE 101, WINSTON SALEM, NC 27106-3276
(336) 397-1560
(336) 397-1566
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8050A
NC
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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