Individual
DESHAWNDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1685 BALDWIN AVE STE 100, PONTIAC, MI 48340-1242
(248) 706-3450
Mailing address
38 HAZELCREST PL, HAZEL PARK, MI 48030-1364
(586) 371-3791
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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