Individual
MS. ERIN PFAUTZ LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
LA RABIDA CHILDREN'S HOPSITAL AND RESEARCH CENTER, 5501 PROMONTORY DRIVE, CHICAGO, IL 60649
(773) 363-6700
Mailing address
5649 S BLACKSTONE AVE # 3S, CHICAGO, IL 60637-1871
(773) 667-9683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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