Individual
TRACIE MICHELE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1200 N TELEGRAPH RD # 32E, PONTIAC, MI 48341-1032
(800) 231-1127
Mailing address
27495 FRANKLIN RD APT 208, SOUTHFIELD, MI 48034-8274
(248) 234-2679
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704194204
MI
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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