Individual
LAUREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 S WOOD ST, CHICAGO, IL 60612-4300
(312) 996-7723
Mailing address
912 S WOOD ST, CHICAGO, IL 60612-4300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2019
Last updated
01/11/2022
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