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Organization
LAUREN RAPHAEL LCSW LLC
Active
Organization
LAUREN RAPHAEL LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREN BETH RAPHAEL LCSW (OWNER)
(312) 953-1471
Entity
Organization
Contact information
Practice address
3050 PHEASANT CREEK DRIVE, APT. 104, NORTHBROOK, IL 60062
(312) 953-1471
Mailing address
3050 PHEASANT CREEK DR, APT. 104, NORTHBROOK, IL 60062-3370
(312) 953-1471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149008215
IL
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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