Individual
MS. KERI ANN SMUTNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 BARNEY DR, JOLIET, IL 60435-5271
(815) 725-2194
(815) 725-5150
Mailing address
1852 EBERHARD LN, PLAINFIELD, IL 60586-6408
(815) 545-2230
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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