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Provider Information for 1467652511


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CHRISTINA LEE STEELE-LIETZ LCSW


Sex: Female

NPI: 1467652511
Last Updated: 2007-07-18
Certification Date:

Details

NameValue
NPI1467652511
Enumeration Date2007-07-18
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 34 N WHISTLER AVE
FREEPORT, IL 61032-4069
United States

Phone: 815-235-6171 | Fax:815-235-6172
 
Primary Practice Address 34 N WHISTLER AVE
FREEPORT, IL 61032-4069
United States

Phone: 815-235-6171 | Fax:815-235-6172
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalIL149.011914