Individual
CARLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
15400 W MCNICHOLS RD, DETROIT, MI 48235-3724
(313) 416-6261
Mailing address
15400 W MCNICHOLS RD, DETROIT, MI 48235-3724
(313) 416-6261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093302
MI
Other
Enumeration date
02/25/2014
Last updated
10/20/2015
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