Individual
CHRISTINE SOFIA LEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 CUSTER AVE APT 2S, EVANSTON, IL 60202-3597
(847) 772-2199
Mailing address
235 CUSTER AVE APT 2S, EVANSTON, IL 60202-3597
(847) 772-2199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149021033
IL
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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