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Individual

ALEXANDRA RENEE LECLERC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
965 CHURCH ST, NEW BEDFORD, MA 02745-1400
(781) 686-5401
Mailing address
965 CHURCH ST, NEW BEDFORD, MA 02745-1400
(781) 686-5401

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW1143354
MA
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
XXP960618147
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/10/2019
Last updated
06/30/2026
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