Individual
DERRICKA E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
329 N MULBERRY ST, MARSHALL, MI 49068-1017
(269) 358-6656
Mailing address
13725 STARR COMMONWEALTH RD, ALBION, MI 49224-9525
(800) 837-5591
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007895
MI
Other
Enumeration date
12/02/2020
Last updated
01/17/2024
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