Individual
KRISTEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 MONROE AVE NE, GRAND RAPIDS, MI 49505-3313
(248) 349-9595
Mailing address
851 PENNIMAN AVE, PLYMOUTH, MI 48170-1621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004699
MI
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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