Individual
MRS. ASHLEY DIANE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/LISW-S
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1502432-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185889
—
OH
Enumeration date
05/30/2012
Last updated
09/15/2021
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