Individual
NICOLE ANN BREILING-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 731-2224
Mailing address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 731-2224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.114414
IL
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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