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Organization
LAURA MAURIELLO, LLC
Active
Organization
LAURA MAURIELLO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MAURIELLO (OWNER)
(630) 890-4899
Entity
Organization
Contact information
Practice address
400 N LA SALLE DR, #1507, CHICAGO, IL 60654-8539
(630) 890-4899
(312) 546-7065
Mailing address
400 N LA SALLE DR, #1507, CHICAGO, IL 60654-8539
(630) 890-4899
(312) 546-7065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017973
IL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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