Individual
LESLIE A. MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
637 WASHINGTON ST, DORCHESTER CENTER, MA 02124-3510
(617) 822-2811
Mailing address
770 CUMMINS HWY, #24, MATTAPAN, MA 02126-1748
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105530
MA
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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