Mary L. Smith

NPI #1952538704 in Macomb, Illinois

Provider Information

NPI Number: 1952538704
Entity Type: Individual
Name: Mary L. Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 19, 2009
Last Updated: Jun 19, 2009

Practice Location

Address: 1 UNIVERSITY CIRCLE, WESTERN IL UNIV
Address 2: CNTR FOR BEST PRACTICES IN EARLY CHILDHOOD EDUCATION
City: Macomb
State: Illinois
ZIP Code: 61455
Phone: (800) 701-0995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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