Individual
KATHERINE LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E DEYOUNG ST STE B, MARION, IL 62959-3143
(618) 693-9139
Mailing address
621 N 16TH ST, HERRIN, IL 62948-1216
(618) 201-6649
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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