Individual
HADIYA DUBOSE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
125 EDDINGTON AVE, HARRISBURG, PA 17111-3520
(717) 364-4908
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6352000035
MI
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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