JALISA SMITH-JORDAN

PEORIA, IL
NPI1659015451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149024181)
Enumeration Date2022-04-27
Last Update Date2022-04-27
Business Address
JALISA SMITH-JORDAN LCSW
1200 HAMILTON BLVD
PEORIA, IL 61606-1525
Phone number: 309-671-8040
Mailing Address
JALISA SMITH-JORDAN LCSW
1200 HAMILTON BLVD
PEORIA, IL 61606-1525
Phone number:
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