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1881902138
LESA E. PORTER
MATTESON, IL
NPI
1881902138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.005982)
Enumeration Date
2010-09-21
Last Update Date
2023-03-23
Business Address
Mrs. LESA E. PORTER LPC
6325 VIRGINIA LN
MATTESON, IL 60443-2074
Phone number: 708-677-5621
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Mailing Address
Mrs. LESA E. PORTER LPC
6325 VIRGINIA LN
MATTESON, IL 60443-2074
Phone number: 708-677-5621
Copy
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