Individual
AMY M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(773) 537-5500
Mailing address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(773) 537-5500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010710
IL
Other
Enumeration date
03/07/2007
Last updated
12/22/2014
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