Individual
JOHN LECKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 BOSTON POST RD, WEST HAVEN, CT 06516-2043
(203) 932-5711
Mailing address
114 BOSTON POST RD, WEST HAVEN, CT 06516-2043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4584
CT
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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