Individual
MRS. COURTNEY JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
325 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-6611
Mailing address
706 COCHRAN AVE, MILLEDGEVILLE, IL 61051-9186
(815) 499-0175
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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