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Individual

TOMIKO L SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
161 INTEROCEAN AVE, SOUTH CHICAGO HEIGHTS, IL 60411-4748
(773) 932-8613
Mailing address
161 INTEROCEAN AVE, SOUTH CHICAGO HEIGHTS, IL 60411-4748
(773) 932-8613

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
IL

Other

Enumeration date
05/21/2024
Last updated
07/31/2024
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