Individual
MR. MATTHEW DAVID LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
213 COURT ST STE 901, MIDDLETOWN, CT 06457-3346
(203) 491-5249
Mailing address
223 MIDDLEBURY RD, WATERTOWN, CT 06795-2423
(203) 510-2034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9604
CT
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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