Lesley Blair Icenhour, MSW, LCSWA
NPI #1699283812 in Sparta, North Carolina
Provider Information
- NPI Number
- 1699283812
- Entity Type
- Individual
- Name
- Lesley Blair Icenhour, MSW, LCSWA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LCSWA
- Enumeration Date
- Jan 22, 2018
- Last Updated
- Jan 22, 2018
Practice Location
- Address
- 1650 NC HIGHWAY 18 S
- City
- Sparta
- State
- North Carolina
- ZIP Code
- 28675-8478
- Phone
- (336) 372-4095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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