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Individual

DANIELLE MARIE SMIRAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
620 WING ST STE 3, ELGIN, IL 60123-2800
(224) 305-0508
Mailing address
1700 ONTARIOVILLE RD APT 207D, HANOVER PARK, IL 60133-7132
(630) 641-6128

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.013337
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
UKU906172209
BCBS OF TENNESSEE
IL
Enumeration date
02/20/2018
Last updated
02/20/2018
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