Individual
MRS. LAUREN MCCLINTOCK LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
1180 COLUMBIA AVE STE 203, IRMO, SC 29063-2890
(407) 803-0088
Mailing address
582 VILLAGE CHURCH DR, CHAPIN, SC 29036-7538
(803) 298-4376
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14105
SC
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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