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Individual

MRS. LEA DUGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
1845 OAK ST STE 15, NORTHFIELD, IL 60093-3022
(847) 386-6560
Mailing address
1845 OAK ST STE 15, NORTHFIELD, IL 60093-3022
(847) 386-6560

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150104731
IL
104100000X
Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
452738848
OTHER
IL
Enumeration date
01/04/2021
Last updated
01/04/2021
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