Individual
MS. BARBARA ROSE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
598 N MILL ST, PLYMOUTH, MI 48170-1420
(734) 459-1179
Mailing address
598 N MILL ST, PLYMOUTH, MI 48170-1420
(734) 459-1179
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801033753
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008975280
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
08/14/2006
Last updated
07/09/2007
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