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Individual

DEBRA D LACLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
24451 SANDHILL BLVD UNIT B, PUNTA GORDA, FL 33983-5214
(941) 347-8447
Mailing address
24451 SANDHILL BLVD UNIT B, PUNTA GORDA, FL 33983-5214

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
076877
NY
1041C0700X
Clinical Social Worker
Primary
SW9751
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06381864
NY
Enumeration date
07/26/2010
Last updated
05/03/2023
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