Organization
CONSTANCE LESLIE LICSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE LESLIE LICSW (PRESIDENT)
(413) 582-6922
Entity
Organization
Contact information
Practice address
16 ARMORY ST, NORTHAMPTON, MA 01060-3536
(413) 582-6922
Mailing address
16 ARMORY ST, NORTHAMPTON, MA 01060-3536
(413) 582-6922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1018753
MA
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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