Individual
WILLIE DEVON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 E LAFAYETTE ST APT 5, DETROIT, MI 48207-3954
(713) 291-1249
Mailing address
2701 E LAFAYETTE ST APT 5, DETROIT, MI 48207-3954
(713) 291-1249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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