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1346011756
LESLIE JANE LASS
CHESAPEAKE, VA
NPI
1346011756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0903003398)
Enumeration Date
2024-01-15
Last Update Date
2024-01-15
Business Address
-- LESLIE JANE LASS PhD
638 INDEPENDENCE PKWY STE 240
CHESAPEAKE, VA 23320-5222
Phone number: 202-812-7655
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Mailing Address
-- LESLIE JANE LASS PhD
36236 CORONADO DR
FREMONT, CA 94536-5535
Phone number: 202-812-6755
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