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Individual

ASHLEY ELISE LEBRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1820 N STERLING AVE, WEST PEORIA, IL 61604-6433
(309) 212-3606
Mailing address
225 DEVRON CIR, EAST PEORIA, IL 61611-1608
(309) 453-8675

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.023333
IL

Other

Enumeration date
07/16/2021
Last updated
07/16/2021
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