Individual
LESLYE CALVILLO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 W HARRISON ST, CHICAGO, IL 60612-3706
(312) 942-5373
Mailing address
3007 N LOTUS AVE, CHICAGO, IL 60641-4818
(773) 988-8263
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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