Individual
CHANNING LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
191 BARRE PAXTON RD, RUTLAND, MA 01543-1239
(508) 321-3060
Mailing address
191 BARRE PAXTON RD, RUTLAND, MA 01543-1239
(508) 321-3060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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