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Individual

HALEY HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3062 E 91ST ST, CHICAGO, IL 60617-4401
(773) 371-2923
Mailing address
3062 E 91ST ST, CHICAGO, IL 60617-4401

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
149.014857
IL

Other

Enumeration date
10/26/2012
Last updated
10/26/2012
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