Most Relevant Information
Provider Data
| NPI Number: | 1003554122 |
| Provider Name: | LAUREN SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 3494 |
Most Important Dates
| Enumeration Date: | 05/27/2022 |
| Last Updated: | 05/27/2022 |
Provider Practice Location
41W400 SILVER GLEN RD
ST CHARLES
IL
601758453
Practice Location Phone/Fax
| Phone: | 8557401921 |
| Fax: |
Provider Mailing Location
2701 RENAISSANCE BLVD FL 4
KING OF PRUSSIA
PA
194062781
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |