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LESLIE F LENNIG LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1629384458

Individual Registrant:
 LESLIE F LENNIG LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2518 SUITE 1A MARSHVIEW CROSSING, ROUTE 202 EAST WINTHROP, ME 04343 US
Tel: 207-395-2555  Fax: 207-395-2560

Contact information for business:
PO BOX 28  EAST WINTHROP, ME 04343-0028 US
Tel: 207-395-2555  Fax: 207-395-2560

Registration Information:
NPI: 1629384458
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
MELC12072

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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