Individual
DAVEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6546 S MINERVA AVE APT 2, CHICAGO, IL 60637-5671
(601) 620-3429
Mailing address
6546 S MINERVA AVE APT 2, CHICAGO, IL 60637-5671
(601) 620-3429
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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