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NPI Code Detail

MEDICARE: JAMIE LYNN LECLAIR

MEDICARE: JAMIE LYNN LECLAIR
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1831769421
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE LYNN LECLAIR
Provider Business Mailing Address
First Line : 27636 WESTCHESTER PKWY APT D
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-1253
Country : US
Telephone Number : 216-647-4397
Fax Number :
Provider Business Practice Location Address
First Line : 2231 N TAYLOR RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44112-3044
Country : US
Telephone Number : 216-441-2496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2021
Last Update Date : 06/28/2021

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Directions to “ JAMIE LYNN LECLAIR ” Practice Location

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