Individual
LESLIE THERIOT HERHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
232 PROFESSIONAL CT STE A, GULF SHORES, AL 36542-3523
(251) 202-9003
Mailing address
PO BOX 55, GULF SHORES, AL 36547-0055
(337) 849-4502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4348C
AL
1041C0700X
Clinical Social Worker
9349
LA
Other
Enumeration date
12/21/2012
Last updated
06/20/2025
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