Individual
LARA HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(708) 408-4961
Mailing address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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