TIARA LANEA SMITH

CHAMPAIGN, IL
NPI1942451570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-10-01
Last Update Date2008-10-01
Business Address
-- TIARA LANEA SMITH BS
401 W SPRINGFIELD AVE
CHAMPAIGN, IL 61820-4716
Phone number: 217-398-8464
Mailing Address
-- TIARA LANEA SMITH BS
2008 VAWTER ST APT 307
URBANA, IL 61801-6438
Phone number: 217-344-0554