Individual
ANDREA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 TEMPLE ST, DETROIT, MI 48201-2599
(313) 833-7036
Mailing address
43310 SILVERWOOD DR, CANTON, MI 48188-1780
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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