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Individual

DEBORAH P LEBEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
18 LYMAN STREET SUITE C, WESTBORO, MA 01581
(508) 366-2106
Mailing address
203 WALNUT STREET, SHREWSBURY, MA 01545-3319
(508) 842-8684

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105057
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1854054
MA
01
641611
TUFTS
MA
01
P03685
BLUE CROSS
MA
Enumeration date
10/04/2006
Last updated
05/29/2008
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