Individual
JULIE J LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
101 W SYCAMORE ST, COLUMBUS, KS 66725-1276
(620) 429-2101
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 231-1960
(620) 231-2808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05448
KS
1041C0700X
Clinical Social Worker
2010001754
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110931222
MEDICARE
KS
05
—
200518810A
—
OK
05
—
200876240D
—
KS
05
—
497161802
—
MO
Enumeration date
01/28/2010
Last updated
06/01/2023
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