Little Corey Venture LLC

NPI #1639901580 in Riverside, Illinois

Provider Information

NPI Number: 1639901580
Entity Type: Organization
Organization Name: Little Corey Venture LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 19, 2024
Last Updated: Aug 19, 2024

Practice Location

Address: 187 W QUINCY ST
City: Riverside
State: Illinois
ZIP Code: 60546-2108
Phone: (708) 601-1576

Authorized Official

Name: MR. WAYLAND BARBER SMITH, LCSW
Title: CLINICAL SOCIAL WORKER
Phone: (708) 601-1576

Specialties & Taxonomy Codes

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

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