Individual
MS. CANDACE MARIE LEITHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 N ASHLAND AVE, SUITE 205, CHICAGO, IL 60622-2259
(312) 874-8198
Mailing address
1200 N ASHLAND AVE, SUITE 205, CHICAGO, IL 60622-2259
(312) 874-8198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017257
IL
Other
Enumeration date
01/10/2012
Last updated
10/13/2015
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