Individual
EMMY JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1440 W TAYLOR ST UNIT 1078, CHICAGO, IL 60607-4623
(224) 698-9278
Mailing address
1440 W TAYLOR ST UNIT 1078, CHICAGO, IL 60607-4623
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.109715
IL
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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