Individual
CARLIE JO RICHARD LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
206 W JACKSON ST STE 100, RIDGELAND, MS 39157-2310
(601) 780-9074
Mailing address
909 AUDUBON POINT DR, BRANDON, MS 39047-6442
(601) 780-9074
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
14645
LA
1041C0700X
Clinical Social Worker
Primary
C10540
MS
171M00000X
Case Manager/Care Coordinator
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—
Other
Enumeration date
01/26/2018
Last updated
05/30/2023
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