Individual
MS. RAYDENE A EDENHOFER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
3001 GREEN BAY RD, MAIL CODE 111-PC, NORTH CHICAGO, IL 60064-3048
(224) 610-2021
(224) 610-3868
Mailing address
3001 GREEN BAY RD, MAIL CODE 111-PC, NORTH CHICAGO, IL 60064-3048
(224) 610-2021
(224) 610-3868
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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