Kerisa Smith
Kerisa Smith is a Developmental Therapist in Joliet, Illinois. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
603 Whitley AveJoliet, IL 60433-1919
Phone: (815) 641-6569
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1952036881 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 25, 2022 |
| Last updated in NPPES | July 25, 2022 |
| Certification date | July 25, 2022 |
| Mailing address | 603 Whitley Ave, Joliet, IL 60433-1919 |
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