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Individual

KRYSTIE DAWN LEBLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
209 CENTRE SARCELLE BLVD STE 201, YOUNGSVILLE, LA 70592-6755
(337) 573-1083
Mailing address
209 CENTRE SARCELLE BLVD STE 201, YOUNGSVILLE, LA 70592-6755
(337) 573-1083

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/28/2019
Last updated
08/28/2019
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