Individual
COY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8600 WOODWARD AVE, DETROIT, MI 48202-2142
(313) 875-7601
(313) 871-1891
Mailing address
8600 WOODWARD AVE, DETROIT, MI 48202-2142
(313) 875-7601
(313) 313-8711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801102663
MI
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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