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Individual

BRETT OLIVER LEBLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATP

Contact information

Practice address
2111 FM 1960 RD E, HUMBLE, TX 77338-5229
(832) 419-3261
Mailing address
20615 WHITE BERRY CT, HUMBLE, TX 77346-1340
(832) 419-3261

Taxonomy

Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
96757
TX
247200000X
Other Technician
Primary
96757
TX

Other

Enumeration date
12/28/2023
Last updated
04/29/2024
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