Individual
SHEKILA L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3478 N DOVE DR, DECATUR, IL 62526-2221
(217) 454-2459
Mailing address
3478 N DOVE DR, DECATUR, IL 62526-2221
(217) 454-2459
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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