Individual
MRS. ANDREA NIKOLE LEEZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
927 BROADWAY ST STE 331, QUINCY, IL 62301-2721
(217) 224-4453
Mailing address
927 BROADWAY ST STE 331, QUINCY, IL 62301-2721
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149022303
IL
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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