Individual
MS. CAROL JUNE HAYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7448 N DAMEN AVE, CHICAGO, IL 60645-2258
(773) 465-6430
Mailing address
7448 N DAMEN AVE, CHICAGO, IL 60645-2258
(773) 465-6430
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
149.011839
IL
1041C0700X
Clinical Social Worker
Primary
149.011839
IL
1041S0200X
School Social Worker
1938754
IL
Other
Enumeration date
12/25/2012
Last updated
12/25/2012
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