Individual
LESLEY TRAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PYOTT RD STE 103, LAKE IN THE HILLS, IL 60156-9795
(815) 790-9184
Mailing address
1067 BENNINGTON DR, CRYSTAL LAKE, IL 60014-8352
(815) 790-9184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150112542
IL
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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