Amanda June Smith, LCSW

NPI #1467902791 in Anna, Illinois

Provider Information

NPI Number: 1467902791
Entity Type: Individual
Name: Amanda June Smith, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 11, 2016
Last Updated: Oct 11, 2016

Practice Location

Address: 204 SOUTH ST
City: Anna
State: Illinois
ZIP Code: 62906-1549
Phone: (618) 833-8551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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