Individual
NOELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 N CORRINE BLVD, CANTON, MI 48187-3272
(313) 929-6480
Mailing address
152 N CORRINE BLVD, CANTON, MI 48187-3272
(313) 929-6480
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
09/02/2024
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