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Individual

ASHLEY L SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD, MA,EDS

Contact information

Practice address
101 W 87TH ST, APT#3014, CHICAGO, IL 60620-1304
(773) 483-8508
Mailing address
535 W CORNELIA AVE, #204, CHICAGO, IL 60657-2756
(901) 338-6636

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
AZ
183500000X
Pharmacist
Primary
051299060
IL

Other

Enumeration date
06/22/2009
Last updated
06/03/2016
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