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Individual

LAUREN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1600
(773) 388-1600
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1600
(773) 388-1600

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.103254
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150103254
IL
Enumeration date
01/25/2022
Last updated
01/25/2022
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