Individual
LATAHRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
Mailing address
250 PRINCETON ST, HOFFMAN ESTATES, IL 60169-3141
(601) 434-8265
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150103942
IL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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