Provider Demographics
NPI:1508948753
Name:ROW, LESLIE HOLCOMBE (MSW)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:HOLCOMBE
Last Name:ROW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:
Other - Last Name:HOLCOMBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:PO BOX 1033
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-0633
Mailing Address - Country:US
Mailing Address - Phone:978-952-0150
Mailing Address - Fax:978-952-6322
Practice Address - Street 1:20 MEETINGHOUSE RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:MA
Practice Address - Zip Code:01460-1912
Practice Address - Country:US
Practice Address - Phone:978-952-0150
Practice Address - Fax:978-952-6322
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1103511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical