Laurie S Bederow LCSW

NPI 1174731871 - Social Worker - 1041C0700X

NPI Details
NPI 1174731871
Gender Female
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
710 S PAULINA ST
SUITE 731
CHICAGO IL, 60612-3808, US
Phone (312) 942-2066
Fax
Business Location
5451 S HYDE PARK BLVD
2N
CHICAGO IL, 60615-5801, US
Phone (773) 493-1148
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State
License Number
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According to our database, Ms. Laurie S Bederow LCSW NPI is 1174731871, taxonomy code is 1041C0700X Laurie S Bederow LCSW physically located at 710 S Paulina St, Chicago IL, 60612-3808. NPI Number Laurie S Bederow LCSW has the Individual type.

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1174731871 NPI number is provided on an as is basis without warranty of any kind. 1174731871 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie S Bederow LCSW are for informational purposes only.