Individual
MR. MICHAEL TAYLOR LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2901 RIDGELAKE DR, STE 102, METAIRIE, LA 70002-4966
(504) 835-9387
(866) 249-8075
Mailing address
2901 RIDGELAKE DR, STE 102, METAIRIE, LA 70002-4966
(504) 835-9387
(866) 249-8075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3076
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2517D
PIN BCBSLA
LA
Enumeration date
05/19/2007
Last updated
07/08/2007
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