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Individual

MR. D'ANDRE TL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LLP

Contact information

Practice address
1009 44TH ST SW STE 103, WYOMING, MI 49509-4480
(269) 459-1818
(269) 365-9951
Mailing address
516 UNION AVE SE, GRAND RAPIDS, MI 49503-5426
(616) 828-8144

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC1900X
Counseling Psychologist
Primary
6301017808
MI

Other

Enumeration date
09/30/2013
Last updated
09/05/2019
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