Organization
MARY AND TOM LEO ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MOIRA BAKER MSW (DIRECTOR OF CLINICAL SERVICES)
(773) 267-5795
Entity
Organization
Contact information
Practice address
2656 W MONTROSE AVE, CHICAGO, IL 60618-1559
(773) 267-5795
(773) 267-4787
Mailing address
2656 W MONTROSE AVE, CHICAGO, IL 60618-1559
(773) 267-5795
(773) 267-4787
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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