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Organization
IMPACT COMMUNITY SERVICES
Active
Organization
IMPACT COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITRA SHAWNTA SMITH LLMSW (FOUNDER/CEO)
18665382131
Entity
Organization
Contact information
Practice address
18353 W MCNICHOLS RD, SUITE #6, DETROIT, MI 48219-4199
(866) 538-2131
(855) 284-2226
Mailing address
18701 GRAND RIVER AVE, SUITE 345, DETROIT, MICHIGAN 48223
(866) 538-2131
(855) 284-2226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801091775
MI
Other
Enumeration date
12/11/2011
Last updated
09/06/2013
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