Provider Demographics
NPI:1780311035
Name:ZORN, HALEIGH (LSW)
Entity type:Individual
Prefix:
First Name:HALEIGH
Middle Name:
Last Name:ZORN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25224 W EAMES ST STE C
Mailing Address - Street 2:
Mailing Address - City:CHANNAHON
Mailing Address - State:IL
Mailing Address - Zip Code:60410-5256
Mailing Address - Country:US
Mailing Address - Phone:815-467-8181
Mailing Address - Fax:
Practice Address - Street 1:25224 W EAMES ST STE C
Practice Address - Street 2:
Practice Address - City:CHANNAHON
Practice Address - State:IL
Practice Address - Zip Code:60410-5256
Practice Address - Country:US
Practice Address - Phone:815-467-8181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty