(800) 868-1923

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: