Individual
AGNES M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
406 S GOSSE BLVD, PRINCETON, IL 61356-1916
(815) 875-4548
(815) 875-8602
Mailing address
406 S GOSSE BLVD, PRINCETON, IL 61356-1916
(815) 875-4548
(815) 875-8602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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