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Individual
MRS. LATRINA SMITH
Active
Individual
MRS. LATRINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017198
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-2998431
—
IL
Enumeration date
02/06/2015
Last updated
02/06/2015
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