Individual
KAITLYN A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 CREAMERY HILL RD, DALLAS CITY, IL 62330-1216
(217) 852-3201
Mailing address
921 CREAMERY HILL RD, DALLAS CITY, IL 62330-1216
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1193153
IL
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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