Individual
KELLY MARGARET SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LLP
Contact information
Practice address
26555 EVERGREEN RD, SOUTHFIELD, MI 48076-4206
(248) 350-3650
Mailing address
55097 FALLBROOKE DR, MACOMB, MI 48042-1852
(313) 610-7133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017300
MI
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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