Individual
PATRICK LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
930 ALICIA RD, LAKELAND, FL 33801-2104
(863) 680-1950
(863) 683-4654
Mailing address
930 ALICIA RD, LAKELAND, FL 33801-2104
(863) 680-1950
(863) 683-4654
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW1918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070868200
—
FL
Enumeration date
08/04/2006
Last updated
10/24/2008
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