Marissa Star Smith
Marissa Star Smith is a Developmental Therapist in McHenry, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
113 Vernon DrMcHenry, IL 60051-8652
Phone: (847) 450-9635
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1992550917 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 22, 2024 |
| Last updated in NPPES | April 22, 2024 |
| Certification date | April 22, 2024 |
| Mailing address | 113 Vernon Dr, McHenry, IL 60051-8652 |
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