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NPI Code Detail

MEDICARE: MRS. VICTORIA LYNN HANRAHAN LSW

MEDICARE: MRS. VICTORIA LYNN HANRAHAN LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker150102259IL

General Provider Information

NPI Number : 1689191645
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VICTORIA LYNN HANRAHAN LSW
Provider Business Mailing Address
First Line : 600 S. WASHINGTON ST., SUITE 105
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6667
Country : US
Telephone Number : 630-518-2525
Fax Number :
Provider Business Practice Location Address
First Line : 600 S WASHINGTON ST STE 105
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6665
Country : US
Telephone Number : 630-518-2525
Fax Number : 630-518-2525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2017
Last Update Date : 08/29/2017

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