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Individual

DR. LESLIE JEAN STEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
345 W FULLERTON PKWY, 1306, CHICAGO, IL 60614-2856

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.004972
IL

Other

Enumeration date
04/11/2007
Last updated
10/31/2008
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