MS. Raydene A Edenhofer, MSW, LSW

NPI #1558308288 in North Chicago, Illinois

Provider Information

NPI Number: 1558308288
Entity Type: Individual
Name: MS. Raydene A Edenhofer, MSW, LSW
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Social Worker
Credential: MSW, LSW
Enumeration Date: Jun 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3001 GREEN BAY RD
Address 2: MAIL CODE 111-PC
City: North Chicago
State: Illinois
ZIP Code: 60064-3048
Phone: (224) 610-2021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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