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1902340730
ANNIE MICHELE SMITH
DECATUR, IL
NPI
1902340730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.017107)
Enumeration Date
2016-12-13
Last Update Date
2016-12-13
Business Address
Mrs. ANNIE MICHELE SMITH L.C.S.W.
1770 E LAKE SHORE DR #209
DECATUR, IL 62521-3832
Phone number: 217-423-6500
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Mailing Address
Mrs. ANNIE MICHELE SMITH L.C.S.W.
1770 E. LAKE SHORE DR. #209
DECATUR, IL 62522-3832
Phone number: 217-423-6500
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