Individual
DR. JEFFREY PAUL LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., PA-C
Contact information
Practice address
1011 SOUTH EAST STREET, MT. VERNON, MO 65712
(417) 466-7191
(417) 466-3876
Mailing address
1011 S EAST ST, MOUNT VERNON, MO 65712-1331
(417) 466-7191
(417) 466-3876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2011002799
MO
Other
Enumeration date
10/07/2010
Last updated
06/13/2025
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