DOMINIQUE MARIE SMITH

DEKALB, IL
NPI1407401086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-08-09
Last Update Date2019-08-09
Business Address
DOMINIQUE MARIE SMITH BS
631 S 1ST ST
DEKALB, IL 60115-4117
Phone number: 815-756-8501
Mailing Address
DOMINIQUE MARIE SMITH BS
PO BOX 1109
DEKALB, IL 60115-7109
Phone number: 815-756-8501