Libertine, Leslie Ann
Libertine, Leslie Ann is an individual health care provider with primary practice located at 37 Belmont St , Brockton MA 02301. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Libertine, Leslie Ann can be contacted via phone (508) 580-4691.Contact Information
Primary practice address
37 Belmont St
Brockton MA 02301
Phone: (508) 580-4691
Fax: (508) 588-5751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5515 | Massachusetts |
Profile Details
| NPI number | 1841353000 |
|---|---|
| LBN Legal business name | Libertine, Leslie Ann |
| Credentials | MA MED LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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