Individual
ANDREA LYNNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
Mailing address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.106886
IL
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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