MR. Leo W Lavender
NPI #1609255819 in Blue Island, Illinois
Provider Information
- NPI Number
- 1609255819
- Entity Type
- Individual
- Name
- MR. Leo W Lavender
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 20, 2015
- Last Updated
- Aug 26, 2025
Practice Location
- Address
- 13811 WESTERN AVE
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-3228
- Phone
- (773) 552-4120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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