Search › Illinois › 1041C0700X
Sean Smith-Moore, LCSW
NPI 1629442231 · on the registry since 2015
Practice
- Address
- 4309 N Kenmore Ave Unit 2
Chicago, IL 60613 - Phone
- (301) 974-5985
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
104100000X
104100000X - Licence states on file
- IL, DC, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois