Individual
JILL DEANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW,CAC-M
Contact information
Practice address
2940 ELLSWORTH RD, YPSILANTI, MI 48197-7406
(734) 434-2603
(734) 434-1511
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-3000
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802065639
MI
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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