Provider Demographics
NPI:1588948202
Name:GRIFFITH, LESLIE ANN
Entity type:Individual
Prefix:MISS
First Name:LESLIE
Middle Name:ANN
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WHITE AVE
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-6234
Mailing Address - Country:US
Mailing Address - Phone:508-633-0082
Mailing Address - Fax:
Practice Address - Street 1:16 WHITE AVE
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-6234
Practice Address - Country:US
Practice Address - Phone:508-633-0082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker