Max Smith

NPI #1548933146 in Oblong, Illinois

Provider Information

NPI Number
1548933146
Entity Type
Individual
Name
Max Smith
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Enumeration Date
Jul 29, 2021
Last Updated
Apr 2, 2025

Practice Location

Address
103 W MAIN ST STE 6
City
Oblong
ZIP Code
62449-1165
Phone
(618) 636-0719

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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