Individual
JARED MATTHEW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
1127 N OAKLEY BLVD FL 3, CHICAGO, IL 60622-3507
(312) 770-3320
Mailing address
1127 N OAKLEY BLVD FL 3, CHICAGO, IL 60622-3507
(312) 770-2317
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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