Individual
DOMYNIQUE JAZMEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 2288, CALUMET CITY, IL 60409-8288
(773) 457-1990
Mailing address
PO BOX 2288, CALUMET CITY, IL 60409-8288
(773) 457-1990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.029210
IL
Other
Enumeration date
08/30/2025
Last updated
08/30/2025
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