Individual
GINA LECLERC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
765 E ROUTE 70, BUILDING A, MARLTON, NJ 08053-2341
(856) 983-3900
Mailing address
521 CARPENTER LN, PHILADELPHIA, PA 19119-3402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04918500
NJ
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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