Individual
NATHANIEL DELOVE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15025 FENKELL ST, DETROIT, MI 48227-2647
(313) 808-3746
Mailing address
15025 FENKELL ST, DETROIT, MI 48227-2647
(313) 808-3746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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