Individual
MICHAEL LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
57 GILLETT ST, HARTFORD, CT 06105-2602
(860) 416-6152
Mailing address
3012 GLENMORE AVE STE 14, CINCINNATI, OH 45238-2258
(513) 914-1820
(855) 708-2972
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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