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1235467986
LEEANN LIETZ
CHAMPAIGN, IL
NPI
1235467986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2009-11-18
Last Update Date
2009-11-18
Business Address
-- LEEANN LIETZ
726 DOVER PL
CHAMPAIGN, IL 61820-7032
Phone number: 217-722-6733
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Mailing Address
-- LEEANN LIETZ
726 DOVER PL
CHAMPAIGN, IL 61820-7032
Phone number:
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