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Individual
HOLLY LEBLANC
Active
Individual
HOLLY LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20801
NC
1041C0700X
Clinical Social Worker
Primary
C011272
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20801
LICENSE #
NC
01
—
C011272
LICENSE SW
NC
Enumeration date
12/02/2015
Last updated
01/16/2018
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