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1912355991
NICOLE SMITH
CHAMPAIGN, IL
NPI
1912355991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IL 146013127)
Enumeration Date
2016-05-31
Last Update Date
2018-04-05
Business Address
NICOLE SMITH M.S., CCC-SLP
3724 THORNHILL DR
CHAMPAIGN, IL 61822-3530
Phone number: 630-440-4285
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Mailing Address
NICOLE SMITH M.S., CCC-SLP
3724 THORNHILL DR
CHAMPAIGN, IL 61822-3530
Phone number: 630-440-4285
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