Individual
AUDREY HABERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1300 W BELMONT AVE STE 400, CHICAGO, IL 60657-3260
(773) 880-1310
(773) 880-1321
Mailing address
3354 N. TROY STREET, APT. 2F, CHICAGO, IL 60618
(612) 868-9439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019576
IL
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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