Individual
EVELYN SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 768-6707
Mailing address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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