Individual
BRENDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12010 LINWOOD ST, DETROIT, MI 48206-1108
(313) 867-1090
Mailing address
12010 LINWOOD ST, DETROIT, MI 48206-1108
(313) 867-1090
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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