Individual
MISS NIEAL MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
5525 N WINTHROP AVE APT 414, CHICAGO, IL 60640-1494
(773) 398-0325
Mailing address
5525 N WINTHROP AVE APT 414, CHICAGO, IL 60640-1494
(773) 398-0325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150011540
IL
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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