LEON B BLACK

ROCKFORD, IL
NPI1790793198
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.005967)
Enumeration Date2006-08-03
Last Update Date2021-05-25
Business Address
LEON B BLACK MSW LCSW CCBT CPTP
7210 EAST STATE STREET, SUITE 102
ROCKFORD, IL 61108-1201
Phone number: 815-877-8567
Mailing Address
LEON B BLACK MSW LCSW CCBT CPTP
7210 EAST STATE STREET SUITE 102
ROCKFORD, IL 61108-1201
Phone number: 815-877-8567
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