Betty Ellen Lazar, LCSW, CADC
Social Worker, Clinical in Northbrook, IL. Individual provider (NPI-1).
NPI number1669980462
StatusActive
Last updated in NPPESJan 14, 2018
Details
- NPI
- 1669980462
- Entity type
- Individual (NPI-1)
- Name
- Ms. Betty Ellen Lazar
- Credential
- LCSW, CADC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 14, 2018
- Last updated
- Jan 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.01954 | IL | Yes |
Other names
- Ellen Lazar (Professional Name)
Practice location
736 York CtNorthbrook, IL 60062-3955
Phone 847-208-9092
Mailing address
736 York CtNorthbrook, IL 60062-3955
Phone 847-208-9092
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