Amy Leisten

NPI #1841970522 in Wheaton, Illinois

Provider Information

NPI Number: 1841970522
Entity Type: Individual
Name: Amy Leisten
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jul 19, 2023
Last Updated: Jul 19, 2023

Practice Location

Address: 222 E WILLOW AVE
City: Wheaton
State: Illinois
ZIP Code: 60187-5426
Phone: (630) 319-5103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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