Individual
CHIQUITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 FRONTENAC RD, O FALLON, IL 62269-1365
(618) 954-9399
Mailing address
301 FRONTENAC RD, O FALLON, IL 62269-1365
(618) 954-9399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149028828
IL
Other
Enumeration date
05/20/2025
Last updated
06/18/2025
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