Individual
MR. EVAN ALDEN LECLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
16 HILLSIDE AVE, NAUGATUCK, CT 06770-4019
(774) 406-4924
Mailing address
174 KNOLLWOOD DR, WALLINGFORD, CT 06492-2997
(203) 443-7842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58.010209
CT
Other
Enumeration date
08/31/2018
Last updated
12/15/2018
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