Individual
AMANDA DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29000 INKSTER RD, SOUTHFIELD, MI 48034-1097
(517) 367-0670
(517) 367-0681
Mailing address
2950 W HOWELL RD, MASON, MI 48854-9329
(517) 367-0670
(517) 367-0681
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401225207
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S 530 066 135 260
MI
Other
Enumeration date
01/19/2012
Last updated
04/21/2026
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