Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
460 S DEER RD, MACOMB, IL 61455-2602
(309) 575-3960
(309) 575-3988
Mailing address
460 S DEERE RD, MACOMB, IL 61455
(309) 333-9829
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
07/23/2024
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