KOLIN SMITH

MARYVILLE, IL
NPI1497115315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  23851)
Enumeration Date2016-03-04
Last Update Date2016-03-04
Business Address
Mr. KOLIN SMITH B.S. CADC
2148 VADALABENE DR
MARYVILLE, IL 62062-5632
Phone number: 618-288-3100
Mailing Address
Mr. KOLIN SMITH B.S. CADC
2148 VADALABENE DR
MARYVILLE, IL 62062-5632
Phone number: 618-288-3100
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