Individual
MRS. TABITHA LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
41820 MANOR PARK DR APT 75, NOVI, MI 48375-2758
(513) 805-1228
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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