Individual
KENNETH LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1112 E ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4265
(225) 621-5770
(225) 644-3208
Mailing address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 925-1906
(225) 925-1987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1058
LA
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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