Individual
MS. LESLIE HOLLINGSWORTH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
135 MORNING VISTA DR, MADISON, AL 35758-8008
(256) 438-3034
Mailing address
135 MORNING VISTA DR, MADISON, AL 35758-8008
(256) 438-3034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4997C
AL
1041C0700X
Clinical Social Worker
Primary
4997C
AL
Other
Enumeration date
07/29/2019
Last updated
09/20/2023
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