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Individual

LESLIE DUNTEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
4461 PROGRESS BLVD, PERU, IL 61354-1109
(815) 223-9678
Mailing address
4461 PROGRESS BLVD, PERU, IL 61354-1109
(815) 223-9678

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.101801
IL

Other

Enumeration date
10/03/2016
Last updated
10/03/2016
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