Individual
KASSANDRA LEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W 1ST ST STE 110, DIXON, IL 61021-3056
(815) 285-3070
Mailing address
119 W 1ST ST STE 110, DIXON, IL 61021-3056
(815) 285-3073
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
12/08/2019
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