MS. Leslie Jean Boulette, MSW, LICSW
NPI #1891009411 in Southbridge, Massachusetts
Provider Information
- NPI Number
- 1891009411
- Entity Type
- Individual
- Name
- MS. Leslie Jean Boulette, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- MSW, LICSW
- Enumeration Date
- Aug 6, 2010
- Last Updated
- Jul 19, 2014
Practice Location
- Address
- 328 MAIN ST
- City
- Southbridge
- State
- Massachusetts
- ZIP Code
- 01550-3727
- Phone
- (508) 765-9101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Counselor - Mental Health — Mental Health |
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