Individual
DR. ANDREA LAUREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
255 COLRAIN ST SW, GRAND RAPIDS, MI 49548-1013
(616) 988-1479
Mailing address
610 STEKETEE RD NE, ADA, MI 49301
(616) 240-4856
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801092746
MI
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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