Individual
LESLIE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
112 MELVIN RD, GILBERTOWN, AL 36908
(251) 843-2292
Mailing address
PO BOX 141, GILBERTOWN, AL 36908-0141
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5746C
AL
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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