Individual
BIANCA LENISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
13333 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7705
Mailing address
7678 W PARKWAY ST, REDFORD, MI 48239-1070
(313) 399-2485
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801095598
MI
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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