Individual
MISS LATIVIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-C
Contact information
Practice address
34290 FORD RD, WESTLAND, MI 48185-3051
(313) 717-1830
Mailing address
34290 FORD RD, WESTLAND, MI 48185-3051
(313) 717-1830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
6801109132
MI
104100000X
Social Worker
6801109132
MI
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/15/2012
Last updated
01/11/2024
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