Individual
MRS. EBONY LATREICE SMETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
26300 OUTER DR, LINCOLN PARK, MI 48146-2019
(313) 388-4630
Mailing address
26300 OUTER DR, LINCOLN PARK, MI 48146-2019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801099969
MI
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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