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1972812907
COLETTE ELLEN SMITH
MURPHYSBORO, IL
NPI
1972812907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.013261)
Enumeration Date
2010-09-24
Last Update Date
2010-09-24
Business Address
-- COLETTE ELLEN SMITH LCSW, CADC
12 GILBERT RD
MURPHYSBORO, IL 62966-4624
Phone number: 618-521-0015
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Mailing Address
-- COLETTE ELLEN SMITH LCSW, CADC
12 GILBERT RD
MURPHYSBORO, IL 62966-4624
Phone number: 618-521-0015
Copy
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