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LEO LAVENDER
Clinical Social Worker
NPI: 1609255819IndividualAccepts Medicare
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
149017079(IL)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2012
Contact & Hours
- Address
- 13811 WESTERN AVE
BLUE ISLAND, IL 60406 - Phone
- (773) 552-4120
Quick Facts
- NPI
- 1609255819
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 14
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