| Lauren Raphael Lcsw Llc | |
|
3050 Pheasant Creek Drive Apt. 104 Northbrook IL 60062 | |
| (312) 953-1471 | |
| Not Available |
| Full Name | Lauren Raphael Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3050 Pheasant Creek Drive, Northbrook, Illinois |
| Authorized Official Name and Position | Lauren Beth Raphael (OWNER) |
| Authorized Official Contact | 3129531471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Raphael Lcsw Llc 3050 Pheasant Creek Dr Apt. 104 Northbrook IL 60062-3370 Ph: (312) 953-1471 | Lauren Raphael Lcsw Llc 3050 Pheasant Creek Drive Apt. 104 Northbrook IL 60062 Ph: (312) 953-1471 |
| NPI Number | 1396297842 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 11/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396297842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149008215 (Illinois) | Primary |
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