Individual
MS. MARY ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
14 HORSESHOE LN, LEMONT, IL 60439-9115
(630) 257-1445
Mailing address
14 HORSESHOE LN, LEMONT, IL 60439-9115
(630) 257-1445
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1833685
IL
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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