Individual
YOLANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
14546 S MUSKEGON AVE APT 3D, BURNHAM, IL 60633-2550
(773) 330-4963
Mailing address
14546 S MUSKEGON AVE, BURNHAM, IL 60633-2223
(773) 330-4963
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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