Individual
HOLLY LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
110 W LIBERTY ST STE 1, PLYMOUTH, MI 48170-1315
(734) 787-0556
Mailing address
9828 ECKLES RD, LIVONIA, MI 48150-4549
(734) 787-0556
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401019369
MI
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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