Individual
MS. ANGELA CHRISTINE LEESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1125 WESTER BLVD, PINGREE GROVE, IL 60140-2044
(773) 616-4310
(866) 209-6747
Mailing address
P.O. BOX 511, HAMPSHIRE, IL 60140-0511
(773) 616-4310
(866) 209-6747
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149.011504
IL
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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