Individual
AUDREY F SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10811 W 143RD ST STE 200, ORLAND PARK, IL 60467-1943
(708) 981-3347
Mailing address
1043 CAMPBELL AVE, CHICAGO HEIGHTS, IL 60411-2506
(708) 794-6530
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.112544
IL
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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