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Individual

M LESLIE BLOUNT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
14505 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2789
(813) 416-1454
(813) 978-9744
Mailing address
7209 HAMMET RD, TAMPA, FL 33647-1206
(813) 980-3488
(813) 980-3647

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW 4044
FL

Other

Enumeration date
11/29/2006
Last updated
03/11/2019
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