Individual
MR. LESLEY JAMES HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5819 WINDING LN STE 133, HIXSON, TN 37343-4067
(423) 933-2575
(423) 285-6160
Mailing address
1103 E DALLAS RD APT 30, CHATTANOOGA, TN 37405-2336
(415) 999-4630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6268
TN
Other
Enumeration date
01/25/2011
Last updated
03/02/2020
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