Individual
LAUREN ASHLEY RICHKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-2095
Mailing address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-2095
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150103077
IL
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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