MR. Ed Leclair, LCSW

NPI #1962663930 in Fulton, New York

Provider Information

NPI Number: 1962663930
Entity Type: Individual
Name: MR. Ed Leclair, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 22, 2008
Last Updated: Jun 22, 2008

Practice Location

Address: 800 FAY ST
City: Fulton
State: New York
ZIP Code: 13069-4584
Phone: (315) 593-0722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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