Individual
MS. JUDITH E LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
40 AVON ST, KEENE, NH 03431-3516
(603) 357-4400
Mailing address
40 AVON ST, KEENE, NH 03431-3516
(603) 357-4400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1378
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81263595
—
NH
Enumeration date
11/16/2006
Last updated
03/07/2024
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