Individual
TIFFANY LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
731 RED OAK LN, APT 4, UNIVERSITY PARK, IL 60484-2935
(708) 675-9397
Mailing address
731 RED OAK LANE, APT 4, UNIVERSITY PARK, IL 60484-3255
(708) 675-9397
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/01/2012
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