Individual
AMY SUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 966-7830
(810) 985-7620
Mailing address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 966-7830
(810) 985-7620
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401004469
MI
1041C0700X
Clinical Social Worker
Primary
6801057767
MI
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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