Individual
DR. CAROL LEE LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH D LCSW
Contact information
Practice address
6 CHESTER AVE, FALMOUTH, ME 04105-2122
(207) 766-5628
Mailing address
6 CHESTER AVE, FALMOUTH, ME 04105-2122
(207) 766-2836
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1145
ME
1041C0700X
Clinical Social Worker
LC5333
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100339
ANTHEM BEHAVIORAL HEALTH
ME
Enumeration date
08/05/2006
Last updated
03/21/2012
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