Individual
MR. BRYAN LECLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3725 NATIONAL DR STE 220, RALEIGH, NC 27612-4879
(919) 781-8370
Mailing address
522 N BLOODWORTH ST, RALEIGH, NC 27604-1226
(312) 401-7572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P011615
NC
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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