Individual
ANDREA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
28349 FOUNTAIN ST, ROSEVILLE, MI 48066-4720
(586) 524-1075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801091112
MI
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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