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Individual

REBECCA GAY LECLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
3710 SW US VETERANS HOSPITAL RD, P3MHDC, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
4714 NE 72ND AVE, #119, VANCOUVER, WA 98661-8111
(206) 940-6729

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00008083
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6355LE
REGENCE
VA
Enumeration date
06/14/2006
Last updated
08/10/2007
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