LEO W LAVENDER

BLUE ISLAND, IL
NPI1609255819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149017079)
Enumeration Date2015-05-20
Last Update Date2025-08-26
Business Address
Mr. LEO W LAVENDER
13811 WESTERN AVE
BLUE ISLAND, IL 60406-3228
Phone number: 773-552-4120
Mailing Address
Mr. LEO W LAVENDER
15912 VINE AVE
HARVEY, IL 60426-5036
Phone number: 773-552-4120
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