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Individual

MS. ARRYN HAWTHORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5756 N RIDGE AVE STE 15, CHICAGO, IL 60660-5333
(773) 688-4499
Mailing address
5756 N RIDGE AVE STE 15, CHICAGO, IL 60660-5333
(773) 688-4499
(773) 813-9977

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149009565
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1634555
BCBSIL PROVIDER NUMBER
IL
Enumeration date
03/08/2006
Last updated
12/21/2021
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