Individual
MARKESHA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26550 EUREKA ROAD, SUITE C, TAYLOR, MI 48180
(734) 941-4991
Mailing address
29063 LEROY STREET, ROMULUS, MI 48174
(313) 286-6175
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6803086884
MI
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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