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1619250180
LESLIE LEWIS FORD
LISLE, IL
NPI
1619250180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.011528)
Enumeration Date
2011-09-21
Last Update Date
2019-10-02
Business Address
Dr. LESLIE LEWIS FORD Ph.D. LCSW
5950 E LINCOLN AVE STE 300
LISLE, IL 60532-3387
Phone number: 312-399-3077
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Mailing Address
Dr. LESLIE LEWIS FORD Ph.D. LCSW
1112 W BOUGHTON RD # 166
BOLINGBROOK, IL 60440-1508
Phone number: 312-399-3077
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