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Individual
MR. WILLIAM JOHN SMITH
Active
Individual
MR. WILLIAM JOHN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-000264
IL
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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