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1760784128
JASON M. LECLAIR
OAK CREEK, WI
NPI
1760784128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16000-130)
Enumeration Date
2010-11-17
Last Update Date
2010-11-17
Business Address
-- JASON M. LECLAIR SAC-IT
6416 S HOWELL AVE
OAK CREEK, WI 53154-1104
Phone number: 414-762-5429
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Mailing Address
-- JASON M. LECLAIR SAC-IT
285 N JANACEK RD
BROOKFIELD, WI 53045-6102
Phone number: 262-641-9050
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