Individual
ANDREW PATRICK HAZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1525 E 53RD ST STE 602, CHICAGO, IL 60615-4551
(312) 612-0497
Mailing address
429 W 103RD ST, CHICAGO, IL 60628-2401
(302) 531-5801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023043
IL
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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