Individual
KRISTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 CENTERPOINT CIR APT 102, O FALLON, IL 62269-2176
(618) 363-8688
Mailing address
1421 CENTERPOINT CIR APT 102, O FALLON, IL 62269-2176
(618) 363-8688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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