Individual
MS. ELIZY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3309 CHARLEMAGNE AVE, HAZEL CREST, IL 60429-2224
(708) 829-0832
Mailing address
3309 CHARLEMAGNE AVE, HAZEL CREST, IL 60429-2224
(708) 829-0832
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
242.002555
IL
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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