Organization
LAUREN D. SENOFF, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN DEE SENOFF LCSW (CLINICAL SOCIAL WORKER)
(217) 359-4066
Entity
Organization
Contact information
Practice address
206 N RANDOLPH ST, SUITE 9, CHAMPAIGN, IL 61820-3949
(217) 359-4066
Mailing address
206 N RANDOLPH ST, SUITE 9, CHAMPAIGN, IL 61820-3949
(217) 359-4066
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
149002453
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609947928
NPI 1609947928
IL
Enumeration date
03/24/2016
Last updated
03/24/2016
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