LESLIE E GRANGE

EVERGREEN PARK, IL
NPI1295465839
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: IL  178.018066)
Enumeration Date2022-06-15
Last Update Date2022-06-15
Business Address
Mr. LESLIE E GRANGE LPC
3317 W 95TH ST
EVERGREEN PARK, IL 60805-2243
Phone number: 708-381-1176
Mailing Address
Mr. LESLIE E GRANGE LPC
3317 W 95TH ST
EVERGREEN PARK, IL 60805-2243
Phone number: 708-381-1176