Individual
LISA M LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
96 SUGAR RUN, FAYSTON, VT 05673-7245
(802) 496-4027
Mailing address
8 RUMFORD AVE, WALTHAM, MA 02453-3845
(617) 233-8707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001087
VT
Other
Enumeration date
05/26/2006
Last updated
04/14/2010
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