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Individual
MR. MARK L SMITH
Active
Individual
MR. MARK L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801069861
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708146
—
MI
Enumeration date
09/27/2005
Last updated
07/13/2026
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