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Individual

CARLTON LEIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
6509 RIVER SPRING CV, MEMPHIS, TN 38120-2653
(901) 504-8848
Mailing address
6509 RIVER SPRING CV, MEMPHIS, TN 38120-2653
(901) 504-8848

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14811
TN

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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