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NPI Code Detail

MEDICARE: SUSAN E HAUGH LSW

MEDICARE:   SUSAN E HAUGH  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
11041C0700XClinical Social Worker149.028067IL

General Provider Information

NPI Number : 1639906290
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN E HAUGH LSW
Provider Business Mailing Address
First Line : 0S015 EVANS AVE
Second Line :
City : WHEATON
State : IL
Zip : 60187-2523
Country : US
Telephone Number : 630-779-8275
Fax Number :
Provider Business Practice Location Address
First Line : 70 S RIVER ST
Second Line :
City : AURORA
State : IL
Zip : 60506-5185
Country : US
Telephone Number : 630-844-2662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2024
Last Update Date : 02/08/2026

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Directions to “ SUSAN E HAUGH LSW” Practice Location

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