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Individual

ALLYSON JULIENNE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1639 N ALPINE RD STE 260, ROCKFORD, IL 61107-1481
(815) 505-3978
Mailing address
5448 TALON TRL, MACHESNEY PARK, IL 61115-8327
(815) 595-3978

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/29/2022
Last updated
06/29/2022
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