Individual
STEFANIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22100 MALDEN ST, FARMINGTON HILLS, MI 48336-3858
(313) 300-6141
Mailing address
9609 BEAVERLAND, REDFORD, MI 48239-1316
(313) 300-6141
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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