Individual
FAYE FREEMAN-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2416 E WASHINGTON ST STE A2, BLOOMINGTON, IL 61704-1608
(309) 530-7758
Mailing address
9139 APOLLO RD, BLOOMINGTON, IL 61705-6886
(309) 530-7758
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180002594
IL
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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