Individual
CASEY LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 MAIN ST, SOUTHBRIDGE, MA 01550-3794
(508) 765-9101
Mailing address
581 BRICKYARD RD, WOODSTOCK, CT 06281-1303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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