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1154691988
CANDACE MARIE LEITHEISER
CHICAGO, IL
NPI
1154691988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149017257)
Enumeration Date
2012-01-10
Last Update Date
2015-10-13
Business Address
Ms. CANDACE MARIE LEITHEISER LCSW
1200 N ASHLAND AVE SUITE 205
CHICAGO, IL 60622-2259
Phone number: 312-874-8198
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Mailing Address
Ms. CANDACE MARIE LEITHEISER LCSW
1200 N ASHLAND AVE SUITE 205
CHICAGO, IL 60622-2259
Phone number: 312-874-8198
Copy
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