Tiara Renee Smith, LSW
Social Worker in Chicago, IL. Individual provider (NPI-1).
NPI number1982138293
StatusActive
Last updated in NPPESApr 13, 2017
Details
- NPI
- 1982138293
- Entity type
- Individual (NPI-1)
- Name
- Tiara Renee Smith
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2017
- Last updated
- Apr 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 150.101967 | IL | Yes |
Practice location
2601 W Marquette RdChicago, IL 60629-1817
Phone 773-349-8053
Mailing address
2601 W Marquette RdChicago, IL 60629-1817
Phone 773-349-8053
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