Individual
JUDITH ANN SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2745 HILLCREST, WIXOM, MI 48393-1232
(248) 960-9778
Mailing address
2745 HILLCREST STREET, WIXOM, MI 48393-1232
(248) 960-9778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401009837
MI
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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