| Laura J. Leblanc, Llc | |
|
727 Clark Ct Madison WI 53715-1421 | |
| (773) 844-8389 | |
| (773) 681-7488 |
| Full Name | Laura J. Leblanc, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 727 Clark Ct, Madison, Wisconsin |
| Authorized Official Name and Position | Laura Leblanc (LCSW) |
| Authorized Official Contact | 7738448389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura J. Leblanc, Llc 727 Clark Ct Madison WI 53715-1421 Ph: (773) 844-8389 | Laura J. Leblanc, Llc 727 Clark Ct Madison WI 53715-1421 Ph: (773) 844-8389 |
| NPI Number | 1386182830 |
|---|---|
| Provider Enumeration Date | 02/05/2017 |
| Last Update Date | 02/05/2017 |
| Medicare PECOS PAC ID | 4981988508 |
|---|---|
| Medicare Enrollment ID | O20170228000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386182830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8521-123 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 149010106 (Illinois) | Secondary |
| Provider Name | Laura J Leblanc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427105352 PECOS PAC ID: 8224280011 Enrollment ID: I20170228000255 |
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