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1295841906
RAYMOND R LECLAIR
SANTA CRUZ, CA
NPI
1295841906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY MFT4717)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
-- RAYMOND R LECLAIR MFCC
104 S PARK WAY
SANTA CRUZ, CA 95062-2202
Phone number: 831-427-2919
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Mailing Address
-- RAYMOND R LECLAIR MFCC
104 S PARK WAY
SANTA CRUZ, CA 95062-2202
Phone number: 831-427-2919
Copy
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