Individual
FELICIA SHALON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2697 GRAND AVE, WAUKEGAN, IL 60085-2410
(224) 656-5557
Mailing address
3022 15TH ST, KENOSHA, WI 53144-3220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150111074
IL
Other
Enumeration date
09/11/2023
Last updated
08/07/2024
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