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Individual

AYBIANETH CAROLINA SMART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
721 N CENTER DR NW, WALKER, MI 49544-8215
(616) 340-1776
Mailing address
717 N CENTER DR NW, GRAND RAPIDS, MI 49544-8215
(989) 400-0394

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801096255
MI
1041C0700X
Clinical Social Worker
Primary
6801096255
MI

Other

Enumeration date
02/28/2017
Last updated
11/28/2022
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