Individual
ELIZABETH ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2299 SWAN DR, FREEPORT, IL 61032-8352
(815) 275-4581
Mailing address
2299 SWAN DR, FREEPORT, IL 61032-8352
(815) 275-4581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149018133
IL
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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