Individual
NICOLE MARIAH LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DS
Contact information
Practice address
114 WINTHROP ST, MEDWAY, MA 02053-2310
(774) 277-1137
Mailing address
114 WINTHROP ST, MEDWAY, MA 02053-2310
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
MA
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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