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Individual

CONNIE JO GOLDSMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1520 S 4TH ST, GREENVILLE, IL 62246-2618
(618) 664-1455
(618) 664-1374
Mailing address
1520 S 4TH ST, GREENVILLE, IL 62246-2618
(618) 664-1455
(618) 664-1374

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.002482
IL

Other

Enumeration date
11/10/2008
Last updated
11/09/2009
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