Individual
LESLIE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
164 FARIST RD, FAIRFIELD, CT 06825-3207
(203) 984-6456
Mailing address
164 FARIST RD, FAIRFIELD, CT 06825-3207
(203) 984-6456
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1795
CT
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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