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Individual
LEATRICE D ALLEN
Active
Individual
LEATRICE D ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180003101
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180003101
LICENSE
IL
Enumeration date
09/28/2011
Last updated
09/28/2011
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