Individual
DEANNA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
149015223
IL
104100000X
Social Worker
6801087879
MI
1041C0700X
Clinical Social Worker
Primary
6801087879
MI
Other
Enumeration date
03/23/2007
Last updated
10/22/2018
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