Individual
AMANDA LAYNE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2500 W HIGGINS RD STE 105, HOFFMAN ESTATES, IL 60169-2040
(888) 870-1775
Mailing address
1945 OAKDALE RD, HOFFMAN ESTATES, IL 60169-6939
(859) 475-3650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149019406
IL
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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