Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 0904007159 | VA |
NPI | 1003123738 |
---|---|
Provider Name | Ms. Leslie Mcpherson Hadley |
First Address | Charlottesville, VA 22901-1282 |
Second Address | Charlottesville, VA 22901-8004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2010 |
Last Update Date | 11/02/2021 |