MICHAEL SMITH

LAKE VILLA, IL
NPI1689216079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: WI  11170)
Enumeration Date2019-10-17
Last Update Date2025-02-24
Business Address
MICHAEL SMITH LSW
89 CEDAR AVE
LAKE VILLA, IL 60046-8411
Phone number: 847-265-7300
Mailing Address
MICHAEL SMITH LSW
PO BOX 764
LAKE VILLA, IL 60046-0764
Phone number: 847-265-7300
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