Individual
ANDREA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
507 36TH ST SE, WYOMING, MI 49548-2339
(616) 247-4508
Mailing address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6802088746
MI
171M00000X
Case Manager/Care Coordinator
Primary
6802088746
MI
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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