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Individual

MR. ANDREW JOHN LEDERMAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
2319 N ORCHARD ST, CHICAGO, IL 60614-0008
(773) 755-7791
Mailing address
923 W OAKDALE AVE APT 3C, CHICAGO, IL 60657-5042
(508) 728-2491

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150112576
IL

Other

Enumeration date
02/08/2024
Last updated
02/08/2024
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