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Individual

MS. GLENDA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
6526 S WOODLAWN AVE # 3, CHICAGO, IL 60637-4306
(312) 636-5331
(773) 363-1899
Mailing address
6526 S WOODLAWN AVE # 3, CHICAGO, IL 60637-4306
(312) 636-5331
(773) 363-1899

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.005732
IL

Other

Enumeration date
04/06/2011
Last updated
04/06/2011
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