Doctor Name: | MARIA E LEBLANC |
NPI Number: | 1639147721 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, MSW, LICSW |
License Number: | 110523 |
Business Practice Address: | 84 Russell St Hadley, MA - 010359507 |
Business Phone Number: | 4136953707 |
Business Fax Number: | 4136593003 |
Mailing Address: | 7 Lyman St, MILLERS FALLS |
State: | MA |
Postal Code: | 013491205 |
Phone Number: | 4136953707 |
Fax Number: | 4136593003 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 11/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 110523 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |