MR. LEO LAVENDER
Social Worker - Clinical
Active
Individual
NPI: 1609255819
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 149017079 (IL) |
Frequently Asked Questions
NPI 1609255819 is the National Provider Identifier for MR. LEO LAVENDER, a Social Worker - Clinical provider located in Blue Island, IL. This NPI was enumerated on May 20, 2015.
MR. LEO LAVENDER practices at 13811 WESTERN AVE, Blue Island, IL 60406.
Quick Facts
- NPI
- 1609255819
- Type
- Individual
- Enumerated
- May 20, 2015
- Last Updated
- Aug 26, 2025
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