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NPI Code Detail

MEDICARE: GABRIELLE LECLERC

MEDICARE:   GABRIELLE  LECLERC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist10510MD

General Provider Information

NPI Number : 1497461495
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE LECLERC
Provider Business Mailing Address
First Line : 27 ORLANDO DR
Second Line :
City : NARRAGANSETT
State : RI
Zip : 02882-4416
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 27 ORLANDO DR
Second Line :
City : NARRAGANSETT
State : RI
Zip : 02882-4416
Country : US
Telephone Number : 401-932-7590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2023
Last Update Date : 01/30/2023

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Directions to “ GABRIELLE LECLERC ” Practice Location

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