KENNETH MICHAEL LEITZA

AURORA, IL
NPI1972238608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2022-07-18
Last Update Date2022-07-18
Business Address
KENNETH MICHAEL LEITZA
120 GALE ST
AURORA, IL 60506-5084
Phone number: 630-897-1003
Mailing Address
KENNETH MICHAEL LEITZA
3677 FLETCHER LN
AURORA, IL 60506-7159
Phone number: 319-540-5996
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