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1295465839
LESLIE E GRANGE
EVERGREEN PARK, IL
NPI
1295465839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 178.018066)
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
MR. LESLIE E GRANGE LPC
3317 W 95TH ST
EVERGREEN PARK, IL 60805-2243
Phone number: 708-381-1176
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Mailing Address
MR. LESLIE E GRANGE LPC
3317 W 95TH ST
EVERGREEN PARK, IL 60805-2243
Phone number: 708-381-1176
Copy
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