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Individual

MICHELLE JAQUES-LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 856-0732
Mailing address
1350 E MAIN RD, PORTSMOUTH, RI 02871-2308
(508) 439-0765

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11862
MA

Other

Enumeration date
03/25/2017
Last updated
11/10/2022
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