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Individual

HANNAH MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4007 N BROADWAY ST, CHICAGO, IL 60613-6074
(773) 304-8723
Mailing address
4007 N BROADWAY ST, CHICAGO, IL 60613-6074
(717) 371-1166

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.017809
IL
221700000X
Art Therapist

Other

Enumeration date
12/19/2022
Last updated
10/24/2025
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