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Individual

MARY DELEONARDIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
40B EDWARDSVILLE PROF PARK, EDWARDSVILLE, IL 62025-3602
(618) 248-2040
(618) 248-2040
Mailing address
PO BOX 101, EDWARDSVILLE, IL 62025-0101
(618) 248-2040
(618) 248-2040

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149013621
IL

Other

Enumeration date
08/28/2014
Last updated
08/28/2014
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