Provider Demographics
NPI:1558452490
Name:VAROL, ANDREA GAIL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:GAIL
Last Name:VAROL
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Gender:F
Credentials:LCSW
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Mailing Address - Street 1:1731 N MARCEY ST
Mailing Address - Street 2:STE 535 TERRY HEFTER ASSOCIATES LLC
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614
Mailing Address - Country:US
Mailing Address - Phone:312-280-1166
Mailing Address - Fax:312-280-1199
Practice Address - Street 1:1731 N MARCEY ST
Practice Address - Street 2:STE 535 TERRY HEFTER ASSOCIATES LLC
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614
Practice Address - Country:US
Practice Address - Phone:312-280-1166
Practice Address - Fax:312-280-1199
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical