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Individual

MRS. LESLIE HAYNES CUDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, PIP

Contact information

Practice address
1306 ROSS CLARK CIR, DOTHAN, AL 36301-4117
(334) 596-0881
Mailing address
406 FORSYTHIA LN, DOTHAN, AL 36305-5837
(334) 596-0881

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1776C
AL

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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