Individual
STEPHANIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16203 MADDELEIN ST, DETROIT, MI 48205-2539
(404) 934-5110
Mailing address
16203 MADDELEIN ST, DETROIT, MI 48205-2539
(404) 934-5110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
01/22/2016
Last updated
06/17/2024
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