Individual
DAVID LABLANCE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
9828 S CLAREMONT AVE, CHICAGO, IL 60643-1737
(312) 683-6757
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-7605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.109550
IL
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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