AUDREY ELAINE SMITH

DIXON, IL
NPI1760034748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-07-10
Last Update Date2019-07-10
Business Address
Mrs. AUDREY ELAINE SMITH QMHP
325 IL ROUTE 2
DIXON, IL 61021-9118
Phone number: 815-288-6611
Mailing Address
Mrs. AUDREY ELAINE SMITH QMHP
325 IL ROUTE 2
DIXON, IL 61021-9118
Phone number: 815-288-6611