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Individual

AUDREY LESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Mailing address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
IL
1041C0700X
Clinical Social Worker
Primary
149024324
IL

Other

Enumeration date
09/13/2017
Last updated
04/28/2022
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