Individual
MR. CHARLES S LEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
68 MAIN ST, OSWEGO, IL 60543
(630) 269-3146
(630) 551-0988
Mailing address
PO BOX 95, 68 MAIN ST, OSWEGO, IL 60543
(630) 269-3146
(630) 551-0988
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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