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Individual

CANDICE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
2653 W OGDEN AVE FL 2, CHICAGO, IL 60608-1647
(773) 257-6672
(773) 257-5330
Mailing address
2653 W OGDEN AVE FL 2, CHICAGO, IL 60608-1647
(773) 257-6672
(773) 257-5330

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180010919
IL

Other

Enumeration date
06/14/2017
Last updated
07/21/2022
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