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NPI Code Detail

MEDICARE: MRS. MARIE FRANCE LECLERC MSW

MEDICARE: MRS. MARIE FRANCE LECLERC MSW
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
11041C0700XClinical Social WorkerISW7259FL

General Provider Information

NPI Number : 1780170258
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIE FRANCE LECLERC MSW
Provider Business Mailing Address
First Line : 924 MARILYN AVE S
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33974-0600
Country : US
Telephone Number : 239-297-3264
Fax Number :
Provider Business Practice Location Address
First Line : 390 PONDELLA RD STE 9
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33903-4340
Country : US
Telephone Number : 239-652-0260
Fax Number : 239-652-0146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2018
Last Update Date : 07/07/2018

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