Individual
ERICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N WOOSTER ST, CAPRON, IL 61012-9550
(815) 608-3776
Mailing address
200 N WOOSTER ST, CAPRON, IL 61012-9550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.005809
IL
235Z00000X
Speech-Language Pathologist
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—
Other
Enumeration date
09/03/2020
Last updated
11/11/2024
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