Individual
MS. BETTY ELLEN LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
736 YORK CT, NORTHBROOK, IL 60062-3955
(847) 208-9092
Mailing address
736 YORK CT, NORTHBROOK, IL 60062-3955
(847) 208-9092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.01954
IL
Other
Enumeration date
01/14/2018
Last updated
01/14/2018
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