Individual
AMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-4885
Mailing address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-4885
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802085598
MI
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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