Provider Information for 1053667949
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SARAH HIRE LCSW
Sex: Female
NPI: 1053667949
Last Updated: 2012-07-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1053667949 | ||||||||
| Enumeration Date | 2012-07-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4116 W ADDISON ST CHICAGO, IL 60641-3907 United States Phone: 773-573-3839 | Fax: | ||||||||
| Primary Practice Address | 4101 N RAVENSWOOD AVE CHICAGO, IL 60613-2193 United States Phone: 773-572-5431 | Fax: | ||||||||
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