Individual
DAVID LECLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4330 HILLCREST DR APT 204, HOLLYWOOD, FL 33021-7934
(954) 579-4052
Mailing address
4330 HILLCREST DR APT 204, HOLLYWOOD, FL 33021-7934
(954) 707-7200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP 4217
FL
1041C0700X
Clinical Social Worker
Primary
SW 9652
FL
Other
Enumeration date
06/13/2014
Last updated
03/26/2021
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