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Individual
MARIA E LEBLANC
Active
Individual
MARIA E LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, MSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110523
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1859340
—
MA
01
—
248803
COMPSYCH
MA
01
—
329036
TRICARE/PGBA
MA
01
—
775273730000
MAGELLAN BEHAVIORAL HEALT
MA
01
—
P08402
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/14/2006
Last updated
06/11/2019
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