Individual
LORELL MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT, MST
Contact information
Practice address
1447 W MONTROSE AVE, CHICAGO, IL 60613-1348
(773) 255-8155
Mailing address
1447 W MONTROSE AVE, CHICAGO, IL 60613-1348
(312) 624-8750
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
152.000262
IL
1041C0700X
Clinical Social Worker
149.022742
IL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
03/10/2026
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