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Individual

ELIZABETH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
18303 E 10 MILE RD, ROSEVILLE, MI 48066-4988
(800) 693-1916
Mailing address
1020 MARYLAND ST, GROSSE POINTE PARK, MI 48230-1347
(800) 693-1916

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801092747
MI
1041C0700X
Clinical Social Worker
6801092747
MI

Other

Enumeration date
10/10/2013
Last updated
09/20/2018
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