Organization
LAURIE M HANSON LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE MARIA RADES LCSW (BUSINESS OWNER/THERAPIST)
(774) 417-5976
Entity
Organization
Contact information
Practice address
5756 N RIDGE AVE STE 9, CHICAGO, IL 60660-5332
(773) 417-5976
Mailing address
3117 N PAULINA ST APT 3, CHICAGO, IL 60657-6780
(773) 844-8456
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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