Individual
ANNALEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 E SANILAC RD, SANDUSKY, MI 48471-1160
(810) 648-0330
Mailing address
3026 MAYFIELD ST, PORT HURON, MI 48060-1711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801094452
MI
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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