Individual
BRIAN DARRELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
1504 17TH ST, PORT HURON, MI 48060-5619
(810) 987-3878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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