Individual
CASSANDRA EDMONSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
15361 PIEDMONT ST, DETROIT, MI 48223-1714
(313) 585-9876
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704114673
MI
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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