Individual
MS. DEBRA MARIE LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-0484
(847) 760-0856
Mailing address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-0484
(847) 760-0856
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.009234
IL
Other
Enumeration date
01/22/2012
Last updated
01/22/2012
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