Most Relevant Information
Provider Data
| NPI Number: | 1003228297 |
| Provider Name: | JANESSA CAMELLA LECLAIR |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/22/2014 |
| Last Updated: | 05/22/2014 |
Provider Practice Location
20 COOKE DR
SCITUATE
RI
028571608
Practice Location Phone/Fax
| Phone: | 4017931265 |
| Fax: |
Provider Mailing Location
20 COOKE DR
SCITUATE
RI
028571608
Provider Mailing Phone/Fax
| Phone: | 4017931265 |
| Fax: |