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Individual

MS. LESLIE R BLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06511-4405
(203) 688-9277
Mailing address
104 BAILEY DR, NORTH BRANFORD, CT 06471-1441
(203) 483-5149
(203) 483-5149

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
001751
CT
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
001751
CT

Other

Enumeration date
06/09/2006
Last updated
10/18/2009
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