Stacie June Marie Smith
Stacie June Marie Smith is a Developmental Therapist in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3046 N Kenmore AveChicago, IL 60657-9094
Phone: (331) 457-1325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1336779602 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 24, 2020 |
| Last updated in NPPES | January 24, 2020 |
| Certification date | January 24, 2020 |
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