Individual
KEVIN DELTON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
232 S MAIN ST, ROMEO, MI 48065-5129
(989) 285-7312
Mailing address
32239 E CRANSTON ST, NEW HAVEN, MI 48048-1971
(989) 285-7312
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401019432
MI
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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